WELLNESS LOCKER, LLC
NPI: 1922479369
· PUTNAM, CT 06260
· Family Medicine Physician
· NPI assigned 10/12/2015
$196.27
Total Medicaid Paid
Provider Details
| Authorized Official | LOCKER, OLIVIA (OWNER) |
| NPI Enumeration Date | 10/12/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
12 |
$42.93 |
| 2020 |
62 |
$153.34 |
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 |
74 |
66 |
$196.27 |