PETER LY MD MEDICAL CORPORATION
NPI: 1508036591
· LOS ALAMITOS, CA 90720
· Interventional Pain Medicine Physician
· NPI assigned 03/05/2008
$167.76
Total Medicaid Paid
Provider Details
| Authorized Official | LY, PETER (PRESIDENT) |
| NPI Enumeration Date | 03/05/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$167.76 |
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 |
48 |
44 |
$167.76 |