NPI: 1265458343 · MATTESON, IL 60443 · Pediatrics Physician · NPI assigned 07/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 55 | $2K |
| 2020 | 102 | $2K |
| 2024 | 19 | $935.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 105 | 79 | $5K |
| 90686 | 21 | 12 | $115.20 | |
| 4274F | 25 | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 25 | 13 | $0.00 |