NPI: 1407892920 · GLEN COVE, NY 11542 · Pediatrics Physician · NPI assigned 06/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $1K |
| 2021 | 494 | $10K |
| 2022 | 131 | $3K |
| 2023 | 94 | $2K |
| 2024 | 84 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 295 | 293 | $10K |
| 97802 | 56 | 56 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 176 | 151 | $2K |
| 92552 | 37 | 37 | $1K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12 | 12 | $980.52 |
| 90461 | 16 | 16 | $753.37 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12 | 12 | $648.00 |
| 96160 | 80 | 80 | $229.78 | |
| 92551 | 16 | 16 | $228.48 | |
| 81002 | 14 | 14 | $46.34 | |
| 81003 | 15 | 15 | $39.45 | |
| 96127 | 37 | 37 | $0.00 | |
| 90656 | 21 | 21 | $0.00 | |
| 90686 | 12 | 12 | $0.00 | |
| 99173 | 30 | 30 | $0.00 |