MCCULLOUGH, SOPHIA
NPI: 1790788966
· WATERVILLE, OH 43566
· Pediatrics Physician
· NPI assigned 05/23/2005
$823.57
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
116 |
$823.57 |
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 |
20 |
20 |
$611.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
13 |
$168.00 |
| 92551 |
|
12 |
12 |
$43.69 |
| 3074F |
|
21 |
21 |
$0.00 |
| 3078F |
|
33 |
33 |
$0.00 |