FANCY FEET PODIATRY PA
NPI: 1962908525
· TAMPA, FL 33607
· Podiatric Clinic/Center
· NPI assigned 04/03/2018
$879.60
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
113 |
$152.60 |
| 2020 |
31 |
$550.62 |
| 2021 |
17 |
$25.51 |
| 2022 |
14 |
$150.87 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 11056 |
|
14 |
12 |
$550.62 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
94 |
$328.98 |
| 11721 |
|
34 |
27 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$0.00 |