SHORE MEDICAL TREATMENT PLLC
NPI: 1457016669
· JERICHO, NY 11753
· Specialist
· NPI assigned 11/02/2021
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | NOVAK, CAROLINE (SOLE MEMBER OWNER) |
| NPI Enumeration Date | 11/02/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
30 |
$2K |
| 2024 |
311 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36465 |
|
49 |
28 |
$58K |
| 36475 |
|
45 |
17 |
$34K |
| 93971 |
|
172 |
77 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
69 |
$5K |