ORLANDO IMMUNOLOGY CENTER PA
NPI: 1467003772
· ORLANDO, FL 32803
· Infectious Disease Physician
· NPI assigned 09/27/2019
$135K
Total Medicaid Paid
Provider Details
| Authorized Official | DEJESUS, EDWIN (OWNER) |
| NPI Enumeration Date | 09/27/2019 |
Related Entities
Other providers sharing the same authorized official: DEJESUS, EDWIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,535 |
$28K |
| 2021 |
1,235 |
$30K |
| 2022 |
992 |
$25K |
| 2023 |
1,156 |
$30K |
| 2024 |
694 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,997 |
2,905 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,595 |
1,225 |
$31K |
| 90674 |
|
20 |
12 |
$0.00 |