SOUTHWEST I.D. & MEDICAL CLINIC, LC
NPI: 1275563975
· PRESCOTT VALLEY, AZ 86314
· Infectious Disease Physician
· NPI assigned 07/05/2006
Provider Details
| Authorized Official | JETLY, ALPANA (MANAGER) |
| NPI Enumeration Date | 07/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$938.36 |
| 2021 |
60 |
$3K |
| 2022 |
52 |
$3K |
| 2023 |
59 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
183 |
$9K |