PRIMARY INTERNAL CARE PSC
NPI: 1801134978
· SABANA GRANDE, PR 00637
· Internal Medicine Physician
· NPI assigned 01/24/2013
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | AYALA, EDGARDO (MD INTERNAL MEDICINE) |
| NPI Enumeration Date | 01/24/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 3078F |
|
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$0.00 |