VYTALIZE HEALTH MEDICAL 2 LLC
NPI: 1720554348
· HOBOKEN, NJ 07030
· Internal Medicine Physician
· NPI assigned 10/22/2018
Provider Details
| Authorized Official | GHAWI, FARIS (CEO) |
| NPI Enumeration Date | 10/22/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
5,900 |
$14K |
| 2020 |
121 |
$131.51 |
| 2021 |
1,373 |
$5K |
| 2022 |
1,197 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99457 |
|
1,736 |
1,445 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,163 |
1,788 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
586 |
557 |
$5K |
| 99454 |
|
907 |
739 |
$5K |
| 93000 |
|
406 |
406 |
$1K |
| 99490 |
Ccm add 20min |
1,668 |
1,668 |
$242.46 |
| 99497 |
|
344 |
344 |
$146.32 |
| 90653 |
|
169 |
169 |
$78.54 |
| 96401 |
|
118 |
118 |
$65.63 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
130 |
130 |
$40.44 |
| 99453 |
|
16 |
16 |
$7.48 |
| G0008 |
Administration of influenza virus vaccine |
154 |
154 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
194 |
194 |
$0.00 |