EAST BRUNSWICK PRIMARY CARE, PA
NPI: 1750680393
· EAST BRUNSWICK, NJ 08816
· Primary Care Clinic/Center
· NPI assigned 03/22/2011
$225.93
Total Medicaid Paid
Provider Details
| Authorized Official | LI, DENA (MD) |
| NPI Enumeration Date | 03/22/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$74.60 |
| 2023 |
46 |
$40.00 |
| 2024 |
38 |
$111.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36410 |
|
27 |
27 |
$185.93 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$40.00 |
| 90662 |
|
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |