WEST CAMBRIDGE PEDIATRIC & ADOLESCENT MEDICIN, PC
NPI: 1487794814
· CAMBRIDGE, MA 02138
· Health Maintenance Organization
· NPI assigned 02/07/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: CONNORS, PATRICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
49 |
$3K |
| 2021 |
15 |
$0.00 |
| 2023 |
240 |
$2K |
| 2024 |
272 |
$2K |
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 |
67 |
66 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
66 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
157 |
156 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
134 |
62 |
$768.50 |
| 96127 |
|
65 |
64 |
$647.01 |
| 90480 |
|
14 |
14 |
$458.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$38.15 |
| 90686 |
|
24 |
24 |
$22.35 |
| 99072 |
|
15 |
12 |
$0.00 |
| 90661 |
|
18 |
18 |
$0.00 |