NPI: 1407541022 · WELLFORD, SC 29385 · Family Medicine Physician · NPI assigned 04/10/2023
| Authorized Official | PETRAS, MISTY (OWNER) |
| NPI Enumeration Date | 04/10/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 166 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 166 | 151 | $5K |