RAPHA FOOT AND ANKLE CENTER, INC
NPI: 1629576350
· PHILADELPHIA, PA 19124
· Foot & Ankle Surgery Podiatrist
· NPI assigned 01/29/2018
$227.31
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, JONG (OWNER) |
| NPI Enumeration Date | 01/29/2018 |
Related Entities
Other providers sharing the same authorized official: LEE, JONG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
461 |
$227.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11057 |
|
122 |
122 |
$193.38 |
| 11721 |
|
215 |
215 |
$20.00 |
| 11755 |
|
16 |
15 |
$13.93 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
68 |
$0.00 |
| 11100 |
|
31 |
30 |
$0.00 |