SOUTH NASSAU UROLOGY, PC
NPI: 1578928933
· FREEPORT, NY 11520
· Urology Physician
· NPI assigned 12/29/2015
$883.65
Total Medicaid Paid
Provider Details
| Authorized Official | BOGEN, MARK (CFO) |
| Parent Organization | SOUTH NASSAU COMMUNITIES HOSPITAL |
| NPI Enumeration Date | 12/29/2015 |
Related Entities
Other providers sharing the same authorized official: BOGEN, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$66.43 |
| 2019 |
26 |
$817.22 |
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 |
12 |
12 |
$783.60 |
| 81002 |
|
46 |
45 |
$100.05 |