NPI: 1003681271 · GLENDALE, AZ 85306 · Podiatrist · NPI assigned 11/17/2023
| Authorized Official | RANDOLPH, JESSICA (OWNER/DPM) |
| NPI Enumeration Date | 11/17/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 22 | $518.14 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 22 | 13 | $518.14 |