NPI: 1346015948 · IDAHO FALLS, ID 83401 · Physician Assistant · NPI assigned 11/24/2023
| Authorized Official | ROSER, JULIE (VP OF OPERATIONS) |
| NPI Enumeration Date | 11/24/2023 |
Other providers sharing the same authorized official: ROSER, JULIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| SANTIBANEZ PAC UTAH | SALT LAKE CITY | UT | $424K |
| SANTIBANEZ PAC NEVADA | CARSON CITY | NV | $79K |
| SANTIBANEZ PAC OHIO INC | RITTMAN | OH | $18K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 32 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 32 | 27 | $2K |