NPI: 1659347185 · LATHAM, NY 12110 · Pediatrics Physician · NPI assigned 02/24/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 57 | $2K |
| 2020 | 95 | $3K |
| 2021 | 89 | $4K |
| 2022 | 46 | $2K |
| 2023 | 51 | $4K |
| 2024 | 107 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 147 | 118 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 118 | 118 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13 | 13 | $872.90 |
| 92552 | 32 | 32 | $647.16 | |
| 81002 | 30 | 29 | $74.24 | |
| 90686 | 41 | 41 | $40.75 | |
| 90688 | 14 | 13 | $20.48 | |
| 99173 | 14 | 14 | $0.00 | |
| 99072 | 36 | 35 | $0.00 |