WHITESIDE, MARK
NPI: 1356314934
· KEY WEST, FL 33040
· Infectious Disease Physician
· NPI assigned 02/13/2006
$780.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
106 |
$714.00 |
| 2020 |
12 |
$66.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
32 |
$477.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
54 |
$302.50 |
| 90686 |
|
30 |
30 |
$0.00 |