RADYS CHILDREN HOSPITAL
NPI: 1629126925
· SAN DIEGO, CA 92123
· Children's Hospital
· NPI assigned 01/05/2007
$714.40
Total Medicaid Paid
Provider Details
| Authorized Official | COLL, MELANIE (AUDIOLOGIST) |
| NPI Enumeration Date | 01/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52 |
$714.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$426.00 |
| 92015 |
Determination of refractive state |
40 |
40 |
$288.40 |