NPI: 1871921783 · PASSAIC, NJ 07055 · Medical Physician Assistant · NPI assigned 10/31/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 56 | $454.83 |
| 2024 | 1,031 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 469 | 457 | $8K |
| 90671 | 82 | 82 | $5K | |
| 90619 | 28 | 28 | $4K | |
| 90461 | 227 | 225 | $3K | |
| 90651 | 36 | 36 | $1K | |
| 90698 | 26 | 26 | $343.56 | |
| 90710 | 27 | 26 | $229.62 | |
| 90715 | 14 | 14 | $191.32 | |
| 90633 | 54 | 54 | $189.78 | |
| 90686 | 71 | 69 | $41.42 | |
| 90680 | 38 | 38 | $0.00 | |
| 90647 | 15 | 15 | $0.00 |