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MEDICAL & SURGICAL FAMILY PRACTICE OF PASSAIC P A
MEDICAL & SURGICAL FAMILY PRACTICE OF PASSAIC P A
NPI: 1457482614
· PASSAIC, NJ 07055
· Surgery Physician
· NPI assigned 03/08/2007
$343.10
Total Medicaid Paid
Provider Details
| Authorized Official | TELLO, CARLOS (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 03/08/2007 |
Related Entities
Other providers sharing the same authorized official: TELLO, CARLOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
217 |
$254.57 |
| 2024 |
126 |
$88.53 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99401 |
|
121 |
87 |
$201.11 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
42 |
$74.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
122 |
$67.93 |