CHILDEN'S COMMUNITY CARE
NPI: 1194312363
· WEXFORD, PA 15090
· Pediatrics Physician
· NPI assigned 12/22/2020
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more
$322.42
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III) |
| NPI Enumeration Date | 12/22/2020 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, LORI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$322.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$322.42 |