NPI: 1194889105 · PORTLAND, TX 78374 · Internal Medicine Physician · NPI assigned 12/21/2006
| Authorized Official | LEE SANG, JEROME (PRESIDENT) |
| NPI Enumeration Date | 12/21/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 138 | $1K |
| 2019 | 33 | $0.00 |
| 2020 | 99 | $0.00 |
| 2022 | 31 | $374.14 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 28 | 25 | $986.53 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 118 | 90 | $704.29 |
| 1123F | 38 | 30 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 117 | 98 | $0.00 |