NPI: 1114323631 · ST AUGUSTINE, FL 32086 · Family Medicine Physician · NPI assigned 11/11/2014
| Authorized Official | BURNSIDE, REBECCA (OFFICE MANAGER) |
| NPI Enumeration Date | 11/11/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 66 | $0.00 |
| 2019 | 16 | $0.00 |
| 2020 | 36 | $88.30 |
| 2021 | 28 | $44.15 |
| 2022 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 160 | 152 | $132.45 |