NPI: 1134280738 · FLAGSTAFF, AZ 86001 · Preferred Provider Organization · NPI assigned 12/13/2006
| Authorized Official | LEWIS, KRISSY (BILLING MANGER) |
| NPI Enumeration Date | 12/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 62 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 62 | 50 | $3K |