CHILDREN'S CENTRAL COAST
NPI: 1265681399
· SANTA BARBARA, CA 93105
· Pediatric Gastroenterology Physician
· NPI assigned 09/12/2008
$265K
Total Medicaid Paid
Provider Details
| Authorized Official | MESSENGER, DONNA (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 09/12/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
994 |
$62K |
| 2019 |
1,310 |
$125K |
| 2020 |
798 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
650 |
619 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,245 |
1,209 |
$69K |
| 99215 |
Prolong outpt/office vis |
464 |
454 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
680 |
655 |
$51K |
| 99205 |
Prolong outpt/office vis |
47 |
47 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
16 |
$4K |