PEDIRITE MEDICAL DE LLC
NPI: 1538800099
· WILMINGTON, DE 19805
· General Practice Physician
· NPI assigned 04/06/2022
$158.13
Total Medicaid Paid
Provider Details
| Authorized Official | KLEIN, SOL (MEMBER) |
| NPI Enumeration Date | 04/06/2022 |
Related Entities
Other providers sharing the same authorized official: KLEIN, SOL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
27 |
$26.10 |
| 2023 |
134 |
$132.03 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
101 |
90 |
$158.13 |
| 11721 |
|
35 |
35 |
$0.00 |
| 11720 |
|
25 |
25 |
$0.00 |