NPI: 1316521602 · IDAHO FALLS, ID 83404 · MOHS-Micrographic Surgery Physician · NPI assigned 05/12/2021
| Authorized Official | ALBERTSON, STETSON (MANAGER) |
| NPI Enumeration Date | 05/12/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15 | 15 | $2K |