BROADWAY FAMILY PRACTICE PC
NPI: 1780624031
· PLEASANTVILLE, NJ 08232
· Foot & Ankle Surgery Podiatrist
· NPI assigned 06/07/2006
$923.75
Total Medicaid Paid
Provider Details
| Authorized Official | REGIS, JON (PRESIDENT) |
| NPI Enumeration Date | 06/07/2006 |
Related Entities
Other providers sharing the same authorized official: REGIS, JON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
110 |
$923.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
40 |
$690.00 |
| 90461 |
|
14 |
14 |
$155.00 |
| 97802 |
|
13 |
13 |
$78.75 |
| 3008F |
|
21 |
21 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
20 |
20 |
$0.00 |