DIAZ VIDAL, IVYA
NPI: 1790851988
· CAQUAS, PR 00726
· Internal Medicine Physician
· NPI assigned 11/28/2006
$70.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
81 |
$70.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 3078F |
|
12 |
12 |
$40.00 |
| 3074F |
|
16 |
14 |
$30.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
51 |
$0.00 |