MOONLIGHT PEDIATRICS, P.C.
NPI: 1285768598
· SUFFERN, NY 10901
· Pediatrics Physician
· NPI assigned 03/16/2007
$167K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
511 |
$71K |
| 2019 |
539 |
$47K |
| 2020 |
118 |
$17K |
| 2021 |
189 |
$27K |
| 2022 |
31 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S9083 |
Global fee urgent care centers |
1,216 |
1,126 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148 |
137 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$3K |