COASTAL FOOT AND ANKLE CLINIC PA.
NPI: 1508801036
· PORT ST JOE, FL 32456
· Podiatrist
· NPI assigned 06/18/2006
$373.69
Total Medicaid Paid
Provider Details
| Authorized Official | MARSH, TAMARA (OWNER) |
| NPI Enumeration Date | 06/18/2006 |
Related Entities
Other providers sharing the same authorized official: MARSH, TAMARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
44 |
$192.98 |
| 2019 |
37 |
$0.00 |
| 2020 |
49 |
$180.71 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 11721 |
|
130 |
116 |
$373.69 |