NPI: 1295386936 · LAS VEGAS, NV 89146 · Family Medicine Physician · NPI assigned 09/24/2019
| Authorized Official | GUSTILO, JINGLAN (MANAGER) |
| NPI Enumeration Date | 09/24/2019 |
Other providers sharing the same authorized official: GUSTILO, JINGLAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| EMPIRE HEALTH SYSTEMS | LAS VEGAS | NV | $13K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 354 | $7K |
| 2022 | 174 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 528 | 417 | $10K |