WELLSPAN MEDICAL GROUP
NPI: 1558914242
· MANCHESTER, PA 17345
· Emergency Medicine Physician
· NPI assigned 07/22/2019
$612K
Total Medicaid Paid
Provider Details
| Authorized Official | DIAZ, JULIANN (CREDENTIALING SUPERVISOR) |
| NPI Enumeration Date | 07/22/2019 |
Related Entities
Other providers sharing the same authorized official: DIAZ, JULIANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
290 |
$19K |
| 2021 |
2,652 |
$159K |
| 2022 |
2,365 |
$151K |
| 2023 |
2,125 |
$130K |
| 2024 |
2,754 |
$154K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
6,632 |
6,402 |
$503K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,103 |
2,050 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
897 |
$25K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
233 |
230 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
226 |
217 |
$682.15 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
42 |
$333.87 |
| 81002 |
|
25 |
24 |
$0.00 |