ESTRELLA INTERNAL MEDICINE AND PEDIATRICS PC
NPI: 1669426565
· GOODYEAR, AZ 85338
· Pediatrics Physician
· NPI assigned 05/22/2006
Provider Details
| Authorized Official | JOHNSON, KENT (PRESIDENT) |
| NPI Enumeration Date | 05/22/2006 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, KENT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
808 |
$35K |
| 2019 |
1,003 |
$46K |
| 2020 |
148 |
$8K |
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 |
873 |
754 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
407 |
372 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
493 |
478 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
52 |
$3K |
| 90461 |
|
25 |
25 |
$913.50 |
| 90656 |
|
38 |
36 |
$98.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$69.85 |
| 90686 |
|
30 |
29 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |