KEYSTONE ORTHOPAEDIC SPECIALISTS, LLC
NPI: 1255666012
· WYOMISSING, PA 19610
· Podiatrist
· NPI assigned 10/13/2009
$424K
Total Medicaid Paid
Provider Details
| Authorized Official | BANCO, STEPHEN (PRESIDENT) |
| NPI Enumeration Date | 10/13/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
25 |
$399.55 |
| 2020 |
138 |
$11K |
| 2021 |
1,192 |
$97K |
| 2022 |
920 |
$99K |
| 2023 |
1,037 |
$118K |
| 2024 |
789 |
$98K |
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 |
2,720 |
2,620 |
$327K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,093 |
1,064 |
$97K |
| 99072 |
|
276 |
262 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |