PURI ORTHOPEDIC CENTER, INC.
NPI: 1366467904
· VICTORVILLE, CA 92395
· Orthopedic Physical Therapist
· NPI assigned 07/13/2006
$239K
Total Medicaid Paid
Provider Details
| Authorized Official | MOORE, LEATA (BILLING MANAGER) |
| NPI Enumeration Date | 07/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,024 |
$43K |
| 2019 |
889 |
$39K |
| 2020 |
917 |
$43K |
| 2021 |
575 |
$27K |
| 2022 |
450 |
$24K |
| 2023 |
784 |
$35K |
| 2024 |
576 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,958 |
1,870 |
$101K |
| 72100 |
|
1,077 |
1,054 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
461 |
460 |
$33K |
| 72040 |
|
625 |
614 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
562 |
548 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
103 |
$10K |
| 73565 |
|
352 |
347 |
$9K |
| 20610 |
|
53 |
51 |
$3K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 72114 |
|
12 |
12 |
$711.74 |