PEDIATRIC STAFF PLLC
NPI: 1922140912
· DETROIT, MI 48219
· Specialist
· NPI assigned 02/13/2007
Provider Details
| Authorized Official | ICE, ANNE-MARE (PRESIDENT) |
| NPI Enumeration Date | 02/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
588 |
$6K |
| 2020 |
15 |
$41.80 |
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 |
125 |
93 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
149 |
96 |
$874.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
99 |
45 |
$574.00 |
| 92551 |
|
54 |
43 |
$297.99 |
| 93770 |
|
109 |
76 |
$0.00 |
| 99173 |
|
55 |
44 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |