CCRC - SOUTH PORT SQUARE, LLC
NPI: 1376957803
· PORT CHARLOTTE, FL 33980
· 314000000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
56 |
$0.00 |
| 2021 |
90 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
73 |
46 |
$0.00 |
| 90694 |
|
28 |
18 |
$0.00 |
| 90662 |
|
45 |
28 |
$0.00 |