TRIVALLEY FAMILY PRACTICE PLLC
NPI: 1215024047
· VERNON, NY 13476
· Family Medicine Physician
· NPI assigned 10/05/2006
$798.56
Total Medicaid Paid
Provider Details
| Authorized Official | HEWITT, DANIELLE (OFFICE MANAGER) |
| NPI Enumeration Date | 10/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14 |
$798.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$798.56 |