NPI: 1386639797 · CHEYENNE, WY 82009 · Body Imaging Physician · NPI assigned 09/13/2005
| Authorized Official | BASTA, JEAN (PARTNER) |
| NPI Enumeration Date | 09/13/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $404.23 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15 | 12 | $404.23 |