NPI: 1053550194 · LAKE SUCCESS, NY 11042 · Student in an Organized Health Care Education/Training Program · NPI assigned 02/12/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $449.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13 | 13 | $449.44 |