PEDIATRIC ASSOCIATES, INC
NPI: 1326250242
· KING OF PRUSSIA, PA 19406
· Pediatrics Physician
· NPI assigned 05/04/2007
$448.45
Total Medicaid Paid
Provider Details
| Authorized Official | NIAMI, NERSI (OWNER) |
| NPI Enumeration Date | 05/04/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$448.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
15 |
15 |
$258.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$190.00 |