PROVIDENCE PODIATRY CARE, INC
NPI: 1376202986
· SAN BERNARDINO, CA 92408
· Foot & Ankle Surgery Podiatrist
· NPI assigned 12/10/2021
$229K
Total Medicaid Paid
Provider Details
| Authorized Official | AVILA, EDDIE (SECRETARY/TREASUER) |
| NPI Enumeration Date | 12/10/2021 |
Related Entities
Other providers sharing the same authorized official: AVILA, EDDIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,178 |
$18K |
| 2023 |
15,575 |
$101K |
| 2024 |
13,441 |
$111K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
8,296 |
8,262 |
$87K |
| 11720 |
|
7,956 |
7,912 |
$51K |
| 99307 |
|
7,868 |
7,841 |
$47K |
| G0127 |
Trimming of dystrophic nails, any number |
5,708 |
5,673 |
$29K |
| 11056 |
|
599 |
598 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
329 |
329 |
$5K |
| 11055 |
|
438 |
438 |
$3K |