GERIATRIC PROFESSIONAL GROUP, LLC
NPI: 1932295953
· BRIDGEPORT, CT 06604
· Internal Medicine Physician
· NPI assigned 10/05/2006
$528.96
Total Medicaid Paid
Provider Details
| Authorized Official | BANOFF, ANDREW (PRESIDENT/CEO) |
| NPI Enumeration Date | 10/05/2006 |
Related Entities
Other providers sharing the same authorized official: BANOFF, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
30 |
$528.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99349 |
|
12 |
12 |
$528.96 |
| G8482 |
Influenza immunization administered or previously received |
18 |
18 |
$0.00 |