Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › ROCHESTER › NEW YORK PHYSICAL MEDICINE CENTER

NEW YORK PHYSICAL MEDICINE CENTER

NPI: 1609135888 · ROCHESTER, NY 14621 · Physical Medicine & Rehabilitation Physician · NPI assigned 05/09/2012

$4K
Total Medicaid Paid
45
Total Claims
42
Beneficiaries
1
Codes Billed
2018-05
First Month
2018-09
Last Month

Provider Details

Authorized OfficialKEOUGH, LISA (CREDENTIALING SPECIALIST)
NPI Enumeration Date05/09/2012

Related Entities

Other providers sharing the same authorized official: KEOUGH, LISA

ProviderCityStateTotal Paid
LAKE MICHIGAN ORAL & MAXILLOFACIAL SURGERY PLLC SAINT JOSEPH MI $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45 42 $4K