SYCAMORE MEDICAL GROUP INC
NPI: 1770629412
· HERCULES, CA 94547
· Family Medicine Physician
· NPI assigned 01/29/2007
$95.75
Total Medicaid Paid
Provider Details
| Authorized Official | CADANG, RUDOLPH (PARTNER) |
| NPI Enumeration Date | 01/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$0.00 |
| 2019 |
28 |
$0.00 |
| 2020 |
295 |
$0.00 |
| 2021 |
22 |
$0.00 |
| 2022 |
18 |
$95.75 |
| 2023 |
19 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
363 |
$95.75 |
| 94760 |
|
25 |
25 |
$0.00 |