JACKSONVILLE SPINE CENTER PA
NPI: 1194248229
· ST AUGUSTINE, FL 32080
· Interventional Pain Medicine Physician
· NPI assigned 07/20/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | GROTH, ALICIA (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 07/20/2017 |
Related Entities
Other providers sharing the same authorized official: GROTH, ALICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
52 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
37 |
$0.00 |