FINGER LAKES OTOLARYNGOLOGY, PC
NPI: 1326065186
· NEWARK, NY 14513
· Facial Plastic Surgery Physician
· NPI assigned 07/17/2006
$199K
Total Medicaid Paid
Provider Details
| Authorized Official | VANBORTEL, KAREN (PRACTICE MANAGER) |
| NPI Enumeration Date | 07/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,753 |
$199K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
255 |
255 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
762 |
741 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
447 |
447 |
$44K |
| 95117 |
|
2,398 |
878 |
$21K |
| 92557 |
|
384 |
384 |
$13K |
| 92550 |
|
455 |
454 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
40 |
40 |
$7K |
| 31231 |
|
12 |
12 |
$2K |