PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC
NPI: 1750373965
· CAMP HILL, PA 17011
· Non-Pharmacy Dispensing Site
· NPI assigned 08/16/2005
$85.50
Total Medicaid Paid
Provider Details
| Authorized Official | MASSINI, STEPHEN (EX. VICE PRES, CHIEF FINANCIAL OFC.) |
| NPI Enumeration Date | 08/16/2005 |
Related Entities
Other providers sharing the same authorized official: MASSINI, STEPHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$85.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
13 |
$85.50 |