PROVIDENCE MEDICAL SERVICES PLLC
NPI: 1417452467
· MOUNT VERNON, NY 10550
· Urgent Care Clinic/Center
· NPI assigned 03/29/2018
Provider Details
| Authorized Official | SUN, DHARINI (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 03/29/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
96 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$747.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$145.00 |