FELD-ANSBACH, SAMANTHA
NPI: 1629338033
· ISLIP TERRACE, NY 11752
· Pediatrics Physician
· NPI assigned 05/18/2012
$352.23
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$102.63 |
| 2020 |
30 |
$0.00 |
| 2023 |
30 |
$249.60 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$249.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$102.63 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 96127 |
|
18 |
13 |
$0.00 |