PONTIKES, THEODOTE
NPI: 1407023674
· MAYWOOD, IL 60153
· Child & Adolescent Psychiatry Physician
· NPI assigned 05/15/2008
$121K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
711 |
$34K |
| 2019 |
693 |
$46K |
| 2020 |
298 |
$29K |
| 2021 |
13 |
$2K |
| 2023 |
42 |
$5K |
| 2024 |
33 |
$4K |
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 |
1,196 |
736 |
$85K |
| 90838 |
|
556 |
364 |
$34K |
| 90836 |
|
38 |
28 |
$1K |