NPI: 1114524824 · GRANTHAM, NH 03753 · Pain Medicine Physician · NPI assigned 10/06/2020
| Authorized Official | WALLACE, MELYNDA (OWNER) |
| NPI Enumeration Date | 10/06/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 33 | $1K |
| 2022 | 133 | $4K |
| 2023 | 108 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 274 | 200 | $10K |