NPI: 1457562522 · RIVERHEAD, NY 11901 · Pediatrics Physician · NPI assigned 05/24/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 27 | $0.00 |
| 2023 | 1,812 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 104 | 104 | $8K |
| 99401 | 66 | 66 | $1K | |
| 85018 | 187 | 187 | $394.05 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 81 | 81 | $18.03 |
| 3078F | 188 | 188 | $0.00 | |
| 92552 | 176 | 176 | $0.00 | |
| 3455F | 211 | 211 | $0.00 | |
| 90461 | 26 | 26 | $0.00 | |
| 99173 | 164 | 164 | $0.00 | |
| 1000F | 200 | 200 | $0.00 | |
| 3074F | 192 | 192 | $0.00 | |
| 36416 | 187 | 187 | $0.00 | |
| 90686 | 57 | 57 | $0.00 |