BLACKSTONE VALLEY OB GYN INC
NPI: 1972632255
· LINCOLN, RI 02865
· Obstetrics & Gynecology Physician
· NPI assigned 03/05/2007
$561.06
Total Medicaid Paid
Provider Details
| Authorized Official | PENKALA, JAN (PHYSICIAN OWNER) |
| NPI Enumeration Date | 03/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$561.06 |
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 |
12 |
12 |
$561.06 |