DR ALA STANFORD CENTER FOR HEALTH EQUITY
NPI: 1194481275
· PHILADELPHIA, PA 19132
· Pediatrics Physician
· NPI assigned 11/12/2021
$505.80
Total Medicaid Paid
Provider Details
| Authorized Official | TAYLOR, CYNTHIA (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 11/12/2021 |
Related Entities
Other providers sharing the same authorized official: TAYLOR, CYNTHIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$0.00 |
| 2024 |
38 |
$505.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
16 |
$280.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
16 |
$225.52 |
| 0011A |
|
24 |
24 |
$0.00 |