NPI: 1326439803 · ROARING SPRING, PA 16673 · Pediatrics Physician · NPI assigned 02/05/2015
Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | LAWRENCE, CHARLOTTE (SECRETARY) |
| NPI Enumeration Date | 02/05/2015 |
Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 42 | $380.00 |
| 2021 | 474 | $15K |
| 2022 | 404 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 688 | 662 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 28 | 27 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26 | 26 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 115 | 108 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 13 | 13 | $159.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 25 | 24 | $142.25 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 13 | 13 | $1.70 |