BAYSIDE PEDIATRICS-FULTON, LLC
NPI: 1881215994
· FULTON, MD 20759
· Pediatrics Physician
· NPI assigned 04/29/2020
$905.28
Total Medicaid Paid
Provider Details
| Authorized Official | NOLD, JEFFREY (OWNER) |
| Parent Organization | NOLD AND ESCOBOSA P A |
| NPI Enumeration Date | 04/29/2020 |
Related Entities
Other providers sharing the same authorized official: NOLD, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$0.00 |
| 2023 |
465 |
$905.28 |
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 |
96 |
53 |
$788.64 |
| 92551 |
|
36 |
12 |
$116.64 |
| 1160F |
|
174 |
68 |
$0.00 |
| 1159F |
|
174 |
68 |
$0.00 |