NPI: 1609445873 · SAINT CLOUD, FL 34771 · Pediatrics Physician · NPI assigned 06/22/2021
Authorized official BRIDGES, ROBERT controls 18+ related entities in our dataset. Read more
| Authorized Official | BRIDGES, ROBERT (EVP, OPERATIONS) |
| Parent Organization | CHILDREN'S HEALTH ALLIANCE, LLC |
| NPI Enumeration Date | 06/22/2021 |
Other providers sharing the same authorized official: BRIDGES, ROBERT
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 105 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16 | 16 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27 | 27 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 26 | 25 | $264.11 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 20 | 19 | $192.00 |
| 36416 | 16 | 15 | $0.00 |