ROSE, JESSICA
NPI: 1679101786
· PHILADELPHIA, PA 19146
· Pediatric Nurse Practitioner
· NPI assigned 04/01/2020
$218.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
47 |
$218.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
12 |
$218.40 |
| 99072 |
|
32 |
30 |
$0.00 |