NPI: 1417694019 · HENDERSON, NV 89052 · Medical Physician Assistant · NPI assigned 05/16/2022
| Authorized Official | RADIVAN, TODD (MANAGING DIRECTOR) |
| NPI Enumeration Date | 05/16/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 27 | $1K |
| 2023 | 36 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99233 | Prolong inpt eval add15 m | 63 | 28 | $2K |