ETN MEDICAL INFUSION, INC.
NPI: 1972904084
· FOUNTAIN VALLEY, CA 92708
· Specialist
· NPI assigned 09/08/2014
$250K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,653 |
$24K |
| 2022 |
10,280 |
$197K |
| 2023 |
1,558 |
$28K |
| 2024 |
44 |
$212.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,574 |
5,296 |
$158K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,373 |
5,166 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
338 |
337 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
98 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
148 |
135 |
$5K |