DIVINITY MEDICAL SERVICES PLLC
NPI: 1316511488
· YORKTOWN HEIGHTS, NY 10598
· Primary Care Clinic/Center
· NPI assigned 05/13/2021
$357.76
Total Medicaid Paid
Provider Details
| Authorized Official | GUPTA, RAJESH (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 05/13/2021 |
Related Entities
Other providers sharing the same authorized official: GUPTA, RAJESH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$357.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
12 |
$357.76 |