PEDIATRIC HEALTH CHOICE
NPI: 1487051306
· ST PETERSBURG, FL 33710
· Clinic/Center
· NPI assigned 11/20/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | FRAZE, DEBORAH (EXECUTIVE VP) |
| Parent Organization | PRESCRIBED PEDIATRIC EXTENDED CARE |
| NPI Enumeration Date | 11/20/2014 |
Related Entities
Other providers sharing the same authorized official: FRAZE, DEBORAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
253 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
253 |
18 |
$0.00 |