MANGO WELLNESS LLC
NPI: 1912570987
· SAINT CLOUD, FL 34769
· Family Medicine Physician
· NPI assigned 07/19/2021
Provider Details
| Authorized Official | PUTHENPURAYIL, SIBY (OWNER/AUTHORIZED OFFICIAL) |
| Parent Organization | MANGOWELLNESS LLC |
| NPI Enumeration Date | 07/19/2021 |
Related Entities
Other providers sharing the same authorized official: PUTHENPURAYIL, SIBY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
370 |
$2K |
| 2022 |
78 |
$2K |
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 |
336 |
136 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
37 |
$680.15 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
15 |
$201.15 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
50 |
12 |
$0.00 |