PRIMA MEDICAL FOUNDATION
NPI: 1366606766
· MILL VALLEY, CA 94941
· Pediatrics Physician
· NPI assigned 07/15/2008
$158.40
Total Medicaid Paid
Provider Details
| Authorized Official | CRISTE, JOEL (CEO) |
| Parent Organization | PRIMA MEDICAL FOUNDATION |
| NPI Enumeration Date | 07/15/2008 |
Related Entities
Other providers sharing the same authorized official: CRISTE, JOEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23 |
$158.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
17 |
$158.40 |