HAZLETON MEDICAL PRACTICE LLC
NPI: 1740691955
· HAZLETON, PA 18201
· Primary Care Clinic/Center
· NPI assigned 05/12/2014
$251K
Total Medicaid Paid
Provider Details
| Authorized Official | GUZMAN, PEDRO (DIRECTOR) |
| NPI Enumeration Date | 05/12/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
511 |
$9K |
| 2019 |
476 |
$6K |
| 2020 |
309 |
$10K |
| 2021 |
1,817 |
$60K |
| 2022 |
1,904 |
$59K |
| 2023 |
1,903 |
$62K |
| 2024 |
1,263 |
$44K |
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 |
5,419 |
5,198 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,404 |
2,371 |
$104K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
282 |
275 |
$5K |
| 93000 |
|
66 |
64 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$240.00 |