OPTIMA HEALTH PLAN
NPI: 1679294201
· NORFOLK, VA 23523
· Internal Medicine Physician
· NPI assigned 09/12/2022
$156.56
Total Medicaid Paid
Provider Details
| Authorized Official | PRINCE, DORIS (DIRECTOR) |
| NPI Enumeration Date | 09/12/2022 |
Related Entities
Other providers sharing the same authorized official: PRINCE, DORIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
36 |
$156.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90619 |
|
18 |
14 |
$143.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
14 |
$13.56 |