CHARLES, DOMONIQUE
NPI: 1932588233
· MACON, GA 31201
· Pediatrics Physician
· NPI assigned 05/20/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$436.56 |
| 2019 |
167 |
$6K |
| 2020 |
148 |
$4K |
| 2021 |
84 |
$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 |
250 |
241 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
82 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
72 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$872.56 |