NPI: 1306504220 · MYSTIC, CT 06355 · Clinic/Center · NPI assigned 12/08/2021
Authorized official BAXTER, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | BAXTER, LISA (CFO) |
| Parent Organization | CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. |
| NPI Enumeration Date | 12/08/2021 |
Other providers sharing the same authorized official: BAXTER, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 36 | $460.68 |
| 2022 | 14 | $1K |
| 2023 | 51 | $3K |
| 2024 | 78 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 129 | 110 | $6K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14 | 14 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22 | 21 | $460.68 |
| 90674 | 14 | 13 | $0.00 |