PHAM, MI
NPI: 1669900676
· ROUND ROCK, TX 78681
· Pediatrics Physician
· NPI assigned 06/03/2017
$442.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
59 |
$442.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
15 |
$426.25 |
| 96160 |
|
27 |
25 |
$15.75 |