OPTIMUM WOUND CARE INC
NPI: 1578217451
· WOODLAND HILLS, CA 91364
· Surgery Physician
· NPI assigned 02/09/2022
$562.71
Total Medicaid Paid
Provider Details
| Authorized Official | DELRAHIM, SOHEILA (PRESIDENT & CEO) |
| NPI Enumeration Date | 02/09/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
74 |
$562.71 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
74 |
26 |
$562.71 |