PLEASANT VALLEY PEDIATRIC MEDICINE, PLLC
NPI: 1639954464
· PLEASANT VALLEY, NY 12569
· Primary Care Clinic/Center
· NPI assigned 08/29/2023
Provider Details
| Authorized Official | SOBRIN, JACK (OWNER) |
| NPI Enumeration Date | 08/29/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
82 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
30 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
20 |
17 |
$136.42 |
| 99173 |
|
31 |
31 |
$0.00 |