SURGICAL ASSOCIATES OF EASTERN CONNECTICUT LLC
NPI: 1902004765
· MANCHESTER, CT 06040
· Surgery Physician
· NPI assigned 07/03/2007
$557.15
Total Medicaid Paid
Provider Details
| Authorized Official | RAYNOR, R (OWNER) |
| NPI Enumeration Date | 07/03/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
28 |
$342.50 |
| 2019 |
19 |
$214.65 |
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 |
47 |
27 |
$557.15 |