NPI: 1922104744 · COMMACK, NY 11725 · Pediatrics Physician · NPI assigned 09/16/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 75 | $3K |
| 2021 | 271 | $6K |
| 2022 | 77 | $2K |
| 2023 | 21 | $327.60 |
| 2024 | 18 | $280.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 216 | 216 | $6K |
| 97802 | 55 | 55 | $2K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17 | 17 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 55 | 44 | $804.40 |
| 90461 | 14 | 14 | $701.30 | |
| 92552 | 17 | 17 | $636.82 | |
| 96160 | 36 | 36 | $109.92 | |
| 81003 | 12 | 12 | $31.56 | |
| 99173 | 28 | 28 | $0.00 | |
| 96127 | 12 | 12 | $0.00 |