NPI: 1467701805 · O FALLON, MO 63366 · Family Medicine Physician · NPI assigned 08/30/2012
| Authorized Official | HENMAN, JESSICA (DIRECTOR) |
| NPI Enumeration Date | 08/30/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 110 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 110 | 86 | $5K |