DIAZ, LUIS
NPI: 1720056617
· COMERIO, PR 00782
· Specialist
· NPI assigned 03/08/2006
$615.72
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
81 |
$615.72 |
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 |
14 |
12 |
$439.32 |
| 3078F |
|
18 |
14 |
$88.20 |
| 3074F |
|
18 |
14 |
$88.20 |
| 0521F |
|
15 |
13 |
$0.00 |
| 3008F |
|
16 |
14 |
$0.00 |