PRIMECARE PEDSXPRESS
NPI: 1891102158
· FREDERICKSBURG, VA 22407
· Pediatrics Physician
· NPI assigned 07/18/2014
Provider Details
| Authorized Official | TATE, DANA (OPERATIONS DIRECTOR) |
| NPI Enumeration Date | 07/18/2014 |
Related Entities
Other providers sharing the same authorized official: TATE, DANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
319 |
$17K |
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 |
162 |
146 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
34 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
102 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
13 |
$353.10 |