PRIMA VIDA MEDICAL CLINIC, INC.
NPI: 1407143464
· DOWNEY, CA 90242
· Primary Care Clinic/Center
· NPI assigned 06/28/2011
$276.24
Total Medicaid Paid
Provider Details
| Authorized Official | AZURIN, ELEANOR (PRESIDENT) |
| NPI Enumeration Date | 06/28/2011 |
Related Entities
Other providers sharing the same authorized official: AZURIN, ELEANOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$276.24 |
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 |
34 |
33 |
$276.24 |
| 3074F |
|
18 |
16 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |