SANITAS OF CONNECTICUT LLC
NPI: 1811486343
· BRIDGEPORT, CT 06606
· Family Medicine Physician
· NPI assigned 05/10/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DARSA, ALBERTO (CFO) |
| Parent Organization | SANITAS OF CONNECTICUT LLC |
| NPI Enumeration Date | 05/10/2018 |
Related Entities
Other providers sharing the same authorized official: DARSA, ALBERTO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$0.00 |
| 2020 |
38 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 1159F |
|
18 |
17 |
$0.00 |
| 99442 |
|
20 |
18 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$0.00 |