PONDVILLE MEDICAL ASSOCIATES, LLC
NPI: 1477963460
· NORFOLK, MA 02056
· Internal Medicine Physician
· NPI assigned 04/30/2014
$179K
Total Medicaid Paid
Provider Details
| Authorized Official | MORTADA, RIAD (PRESIDENT) |
| NPI Enumeration Date | 04/30/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
824 |
$24K |
| 2019 |
952 |
$28K |
| 2020 |
1,454 |
$50K |
| 2021 |
1,499 |
$48K |
| 2022 |
851 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,389 |
2,116 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,176 |
1,102 |
$52K |
| 80305 |
|
1,573 |
1,369 |
$11K |
| 99408 |
|
195 |
177 |
$2K |
| 93000 |
|
164 |
160 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
37 |
$756.65 |
| 90756 |
|
20 |
20 |
$483.75 |
| 99443 |
|
13 |
13 |
$108.53 |