INNOVATIVE MEDICAL GROUP INC
NPI: 1821332503
· BURBANK, CA 91502
· Emergency Medicine Physician
· NPI assigned 11/19/2012
$753.52
Total Medicaid Paid
Provider Details
| Authorized Official | DERDERIAN, HRAK (CEO / MEDICAL DIRECTOR) |
| NPI Enumeration Date | 11/19/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$753.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
13 |
12 |
$753.52 |
| 20611 |
|
13 |
12 |
$0.00 |