PACIFIC EDGE DIAGNOSTICS USA LTD.
NPI: 1710253596
· HUMMELSTOWN, PA 17036
· Clinical Medical Laboratory
· NPI assigned 03/27/2012
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | LEVISON, DAVID (PRESIDENT) |
| Parent Organization | PACIFIC EDGE LTD |
| NPI Enumeration Date | 03/27/2012 |
Related Entities
Other providers sharing the same authorized official: LEVISON, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$248.29 |
| 2020 |
16 |
$0.00 |
| 2021 |
95 |
$8K |
| 2022 |
300 |
$32K |
| 2023 |
335 |
$75K |
| 2024 |
66 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012M |
|
750 |
736 |
$65K |
| 0363U |
|
76 |
73 |
$55K |