CHILDREN'S COMMUNITY CARE
NPI: 1619058559
· WEXFORD, PA 15090
· Dermatology Physician
· NPI assigned 10/18/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more
$467K
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III) |
| NPI Enumeration Date | 10/18/2006 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, LORI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
84 |
$5K |
| 2020 |
142 |
$10K |
| 2021 |
1,318 |
$113K |
| 2022 |
748 |
$57K |
| 2023 |
1,734 |
$132K |
| 2024 |
1,916 |
$150K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,152 |
2,088 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,162 |
2,102 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,245 |
1,201 |
$116K |
| 99242 |
|
163 |
155 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
95 |
$16K |
| 99243 |
|
30 |
28 |
$5K |
| 17110 |
|
86 |
85 |
$2K |