LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
NPI: 1639666555
· SACRAMENTO, CA 95823
· Pain Medicine (Physical Medicine & Rehabilitation) Physician
· NPI assigned 04/16/2018
$640.91
Total Medicaid Paid
Provider Details
| Authorized Official | D'AMATO, AMY (CONTRACTS MANAGER) |
| NPI Enumeration Date | 04/16/2018 |
Related Entities
Other providers sharing the same authorized official: D'AMATO, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
187 |
$640.91 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
29 |
$527.69 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$82.50 |
| Q3014 |
Telehealth originating site facility fee |
40 |
31 |
$22.96 |
| 99000 |
|
66 |
64 |
$7.26 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
35 |
29 |
$0.50 |