MAIN STREET PEDIATRICS OF GREATER SCRANTON
NPI: 1881253011
· DICKSON CITY, PA 18519
· Pediatric Adolescent Medicine Physician
· NPI assigned 06/11/2019
Provider Details
| Authorized Official | MCDONOUGH, ANNIE (OFFICE MGR.) |
| NPI Enumeration Date | 06/11/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
251 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
62 |
$2K |
| 90688 |
|
57 |
56 |
$427.84 |
| 99188 |
|
12 |
12 |
$216.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
49 |
$0.00 |