SURGICAL ASSOCIATES OF BLOOMINGTON, PC
NPI: 1750313250
· BLOOMINGTON, IN 47403
· Surgery Physician
· NPI assigned 07/06/2006
$822.63
Total Medicaid Paid
Provider Details
| Authorized Official | HADDAD, FADI (OWNER) |
| NPI Enumeration Date | 07/06/2006 |
Related Entities
Other providers sharing the same authorized official: HADDAD, FADI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
13 |
$822.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$822.63 |