M,BASTAWROS,PHYSICIAN,P.C.
NPI: 1720495328
· STATEN ISLAND, NY 10305
· Exclusive Provider Organization
· NPI assigned 07/15/2014
Provider Details
| Authorized Official | BASTAWROS, MARY (PRESIDENT) |
| NPI Enumeration Date | 07/15/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
92 |
$6K |
| 2020 |
153 |
$6K |
| 2021 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
135 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
55 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
26 |
$1K |
| 92551 |
|
26 |
26 |
$311.12 |
| 99173 |
|
26 |
26 |
$85.98 |