NORTH FLORIDA PEDIATRICS, PA
NPI: 1770952269
· CROSS CITY, FL 32628
· Rural Health Clinic/Center
· NPI assigned 09/15/2015
$84.13
Total Medicaid Paid
Provider Details
| Authorized Official | SANTELICES, SAMUEL (PRESIDENT/CEO) |
| Parent Organization | NORTH FLORIDA PEDIATRICS PA |
| NPI Enumeration Date | 09/15/2015 |
Related Entities
Other providers sharing the same authorized official: SANTELICES, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$84.13 |
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 |
15 |
13 |
$84.13 |