INTERNATIONAL PEDIATRIC MEDICAL GROUP INC
NPI: 1861591752
· OAKLAND, CA 94606
· Pediatrics Physician
· NPI assigned 09/21/2006
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, AN (MD) |
| NPI Enumeration Date | 09/21/2006 |
Related Entities
Other providers sharing the same authorized official: PHAM, AN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
351 |
$18K |
| 2019 |
538 |
$23K |
| 2020 |
296 |
$15K |
| 2021 |
171 |
$10K |
| 2022 |
213 |
$11K |
| 2023 |
151 |
$9K |
| 2024 |
725 |
$37K |
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 |
1,701 |
1,393 |
$106K |
| 92551 |
|
276 |
276 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
24 |
$2K |
| 90686 |
|
121 |
121 |
$2K |
| 97802 |
|
67 |
67 |
$2K |
| 90480 |
|
34 |
34 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
16 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$894.41 |
| 90672 |
|
14 |
14 |
$448.57 |
| 90670 |
|
37 |
37 |
$334.00 |
| 90707 |
|
27 |
27 |
$333.44 |
| 90716 |
|
14 |
14 |
$303.93 |
| 90744 |
|
14 |
14 |
$173.86 |
| 90633 |
|
16 |
16 |
$144.00 |
| 90647 |
|
12 |
12 |
$106.00 |
| 90715 |
|
12 |
12 |
$99.00 |
| 99173 |
|
13 |
13 |
$42.57 |