SUMMIT TOTAL CARE PLLC
NPI: 1700245271
· WALLED LAKE, MI 48390
· Family Medicine Physician
· NPI assigned 02/12/2016
Provider Details
| Authorized Official | HASSANE, SAHAR (MANAGER) |
| NPI Enumeration Date | 02/12/2016 |
Related Entities
Other providers sharing the same authorized official: HASSANE, SAHAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
75 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
47 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
14 |
$227.36 |