NPI: 1053936377 · SCOTT DEPOT, WV 25560 · Nursing Care Agency · NPI assigned 06/11/2020
| Authorized Official | SMITH, LYDIA (NURSE PRACTITIONER) |
| NPI Enumeration Date | 06/11/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 27 | $113.30 |
| 2024 | 57 | $625.13 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99490 | Ccm add 20min | 84 | 84 | $738.43 |