NPI: 1144320052 · LAKE CITY, FL 32025 · Pediatrics Physician · NPI assigned 09/22/2006
| Authorized Official | RANDOLPH, TOMMY (MD) |
| NPI Enumeration Date | 09/22/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 99 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 99 | 87 | $4K |