PHYSICIAN SERVICES IPA LLC
NPI: 1336573351
· ORLANDO, FL 32806
· Family Medicine Physician
· NPI assigned 08/27/2013
$177.56
Total Medicaid Paid
Provider Details
| Authorized Official | DELOACH, CASEY (MANAGER) |
| Parent Organization | VAXCARE CORPORATION |
| NPI Enumeration Date | 08/27/2013 |
Related Entities
Other providers sharing the same authorized official: DELOACH, CASEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
30 |
$177.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$177.56 |