NPI: 1003235151 · SALT LAKE CITY, UT 84132 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/15/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $427.41 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 12 | 12 | $427.41 |