NPI: 1003179326 · BRIDGEPORT, WV 26330 · Family Medicine Physician · NPI assigned 06/21/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $505.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 15 | 15 | $505.00 |