NPI: 1275715534 · WICHITA, KS 67218 · Internal Medicine Physician · NPI assigned 11/28/2007
| Authorized Official | NOLA, BOUNSAVATH (OWNER) |
| NPI Enumeration Date | 11/28/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 168 | $2K |
| 2019 | 231 | $2K |
| 2020 | 52 | $409.88 |
| 2021 | 107 | $1K |
| 2022 | 28 | $192.66 |
| 2023 | 13 | $66.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 599 | 528 | $5K |