NPI: 1114269313 · WASILLA, AK 99654 · Family Medicine Physician · NPI assigned 03/26/2013
| Authorized Official | PENDERGRASS, SHANNON (BILLING MANAGER) |
| NPI Enumeration Date | 03/26/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $790.04 |
| 2020 | 389 | $52K |
| 2021 | 566 | $74K |
| 2023 | 74 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,046 | 748 | $138K |