EXECUTIVE DIAGNOSTIC GROUP, PLLC
NPI: 1881955953
· DEARBORN, MI 48124
· Multi-Specialty Clinic/Center
· NPI assigned 06/05/2012
Provider Details
| Authorized Official | JORGE, LUIS (OWNER) |
| NPI Enumeration Date | 06/05/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
226 |
$18K |
| 2019 |
189 |
$14K |
| 2020 |
97 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
512 |
476 |
$38K |