ISHIMARU MEDICAL SERVICES LLC
NPI: 1487399887
· CHESTER, WV 26034
· Family Medicine Physician
· NPI assigned 04/29/2022
$743.06
Total Medicaid Paid
Provider Details
| Authorized Official | DIAMOND, RICHARD (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 04/29/2022 |
Related Entities
Other providers sharing the same authorized official: DIAMOND, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
16 |
$743.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$743.06 |