SOUTH QUEENS PEDIATRIC ASSOC, LLP
NPI: 1437241775
· SOUTH OZONE PARK, NY 11420
· Pediatrics Physician
· NPI assigned 09/28/2006
Provider Details
| Authorized Official | ABRAHAM, JAMIL (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 09/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
70 |
$1K |
| 2019 |
207 |
$707.64 |
| 2020 |
379 |
$1K |
| 2021 |
352 |
$1K |
| 2022 |
79 |
$443.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
126 |
$2K |
| 99401 |
|
431 |
397 |
$1K |
| 92587 |
|
25 |
25 |
$409.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
43 |
$317.18 |
| 99173 |
|
156 |
155 |
$150.00 |
| 92558 |
|
104 |
104 |
$87.03 |
| 36415 |
Collection of venous blood by venipuncture |
116 |
115 |
$28.60 |
| 81002 |
|
38 |
38 |
$2.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
39 |
38 |
$0.00 |