UDELSMAN, MARISSA
NPI: 1811322373
· PASADENA, CA 91104
· Pediatric Nurse Practitioner
· NPI assigned 09/03/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
104 |
$2K |
| 2019 |
24 |
$599.16 |
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 |
38 |
36 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
66 |
66 |
$533.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$208.56 |