NPI: 1376244061 · BOISE, ID 83702 · Pain Medicine (Anesthesiology) Physician · NPI assigned 03/10/2023
| Authorized Official | INGRAM, SHANA (BILLING MANAGER) |
| NPI Enumeration Date | 03/10/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 127 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 127 | 122 | $8K |