ACTINIUM MEDICAL CORPORATION
NPI: 1659088714
· MONTEBELLO, CA 90640
· Adult Medicine Physician
· NPI assigned 10/28/2022
$518.47
Total Medicaid Paid
Provider Details
| Authorized Official | MA, JACKSON (PRESIDENT) |
| NPI Enumeration Date | 10/28/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
53 |
$518.47 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
38 |
$445.11 |
| 99491 |
Ccm add 20min |
13 |
13 |
$73.36 |