FERNANDO, MARYLOU
NPI: 1881644045
· AUGUSTA, GA 30909
· Pediatrics Physician
· NPI assigned 05/10/2006
$478.80
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$274.69 |
| 2019 |
12 |
$204.11 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$478.80 |
| 90686 |
|
15 |
15 |
$0.00 |