MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI
NPI: 1689227209
· PHILADELPHIA, PA 19139
· Internal Medicine Physician
· NPI assigned 07/23/2019
$170.00
Total Medicaid Paid
Provider Details
| Authorized Official | CARUSO, JOHN (PRESIDENT) |
| Parent Organization | MERCY ACCOUNTABLE CARE, LLC |
| NPI Enumeration Date | 07/23/2019 |
Related Entities
Other providers sharing the same authorized official: CARUSO, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
437 |
$170.00 |
| 2022 |
74 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 3074F |
|
12 |
12 |
$70.00 |
| 3008F |
|
12 |
12 |
$50.00 |
| 3078F |
|
14 |
14 |
$50.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
162 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 1100F |
|
39 |
39 |
$0.00 |
| 3725F |
|
155 |
155 |
$0.00 |
| 1160F |
|
45 |
45 |
$0.00 |
| 1159F |
|
58 |
58 |
$0.00 |