INTEGRATED WOUND CARE PENNSYLVANIA PLLC
NPI: 1447722863
· PHILADELPHIA, PA 19104
· General Practice Physician
· NPI assigned 12/24/2018
$179K
Total Medicaid Paid
3,762
Beneficiary Records
Provider Details
| Authorized Official | LUSA, DIANE (PRESIDENT) |
| NPI Enumeration Date | 12/24/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
436 |
$5K |
| 2022 |
617 |
$10K |
| 2023 |
3,026 |
$81K |
| 2024 |
3,585 |
$82K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,333 |
2,393 |
$118K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,687 |
895 |
$52K |
| 99307 |
|
536 |
387 |
$6K |
| 99305 |
|
84 |
74 |
$2K |
| 17250 |
|
24 |
13 |
$361.48 |