MAIN LINE HOSPITALS, INC.
NPI: 1881990547
· WYNNEWOOD, PA 19096
· Clinic/Center
· NPI assigned 01/28/2011
$368K
Total Medicaid Paid
Provider Details
| Authorized Official | EHRLICH, LEIGH (CHIEF FINANCIAL OFFICER) |
| Parent Organization | MAIN LINE HOSPITALS, INC. |
| NPI Enumeration Date | 01/28/2011 |
Related Entities
Other providers sharing the same authorized official: EHRLICH, LEIGH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,491 |
$144K |
| 2022 |
3,283 |
$165K |
| 2023 |
1,158 |
$59K |
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 |
6,232 |
5,286 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
138 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
222 |
219 |
$4K |
| 90715 |
|
90 |
90 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$955.06 |
| 90686 |
|
37 |
37 |
$240.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
188 |
$0.00 |