SUMMIT TOTAL CARE PLLC
NPI: 1225564271
· OAK PARK, MI 48237
· Pediatrics Physician
· NPI assigned 05/11/2017
$543.62
Total Medicaid Paid
Provider Details
| Authorized Official | HASSANE, SAHAR (MANAGER) |
| Parent Organization | SUMMIT TOTAL CARE PLLC |
| NPI Enumeration Date | 05/11/2017 |
Related Entities
Other providers sharing the same authorized official: HASSANE, SAHAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$543.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
14 |
14 |
$543.62 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |