NPI: 1043774896 · GRAHAM, TX 76450 · Family Medicine Physician · NPI assigned 01/25/2019
| Authorized Official | MATASKA, JARED (MANAGING OWNER) |
| NPI Enumeration Date | 01/25/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 118 | $4K |
| 2024 | 13 | $152.79 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 49 | 43 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55 | 49 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 27 | 26 | $291.69 |