FONSECA PEDIATRICS LLC
NPI: 1881475762
· SAINT CLOUD, FL 34769
· Pediatrics Physician
· NPI assigned 10/09/2023
$617.98
Total Medicaid Paid
Provider Details
| Authorized Official | FONSECA, RAMON (OWNER) |
| NPI Enumeration Date | 10/09/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
42 |
$617.98 |
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 |
15 |
12 |
$577.89 |
| 92551 |
|
14 |
13 |
$36.78 |
| 99173 |
|
13 |
12 |
$3.31 |