CHILDREN'S SERVICE CENTER OF WYOMING VALLEY, INC
NPI: 1710617857
· WILKES BARRE, PA 18702
· Internal Medicine Physician
· NPI assigned 06/13/2022
$149K
Total Medicaid Paid
Provider Details
| Authorized Official | PISARCIK, SHARON (CFO) |
| Parent Organization | CHILDREN'S SERVICE CENTER OF WYOMING VALLEY INC |
| NPI Enumeration Date | 06/13/2022 |
Related Entities
Other providers sharing the same authorized official: PISARCIK, SHARON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$490.00 |
| 2023 |
810 |
$33K |
| 2024 |
3,883 |
$116K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,100 |
960 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,304 |
824 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
302 |
293 |
$26K |
| 80305 |
|
1,767 |
1,022 |
$21K |
| 81025 |
|
202 |
179 |
$800.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
25 |
$240.00 |