NPI: 1093380941 · QUEEN CREEK, AZ 85142 · Vascular Surgery Physician · NPI assigned 05/24/2021
| Authorized Official | BALRAJ, PRAVEEN (MEMBER MANAGER) |
| NPI Enumeration Date | 05/24/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 12 | 12 | $1K |