SPORTS MEDICINE ORTHOPAEDICS & PODIATRY INC
NPI: 1407034994
· EAST PROVIDENCE, RI 02914
· Orthopaedic Surgery Physician
· NPI assigned 02/06/2008
$929.76
Total Medicaid Paid
Provider Details
| Authorized Official | GOLDSTEIN, JACK (PRESIDENT) |
| NPI Enumeration Date | 02/06/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$929.76 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$929.76 |