JU, JACK
NPI: 1518455955
· NEW BRUNSWICK, NJ 08901
· Pediatrics Physician
· NPI assigned 05/01/2018
$433.85
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
122 |
$433.85 |
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 |
26 |
26 |
$143.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$93.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$88.88 |
| 92567 |
|
21 |
21 |
$64.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$32.72 |
| 94760 |
|
17 |
17 |
$11.60 |