NPI: 1477717197 · MOLINE, IL 61265 · Primary Care Clinic/Center · NPI assigned 07/11/2008
| Authorized Official | KOLUSU, HANUMANTHA (PRESIDENT) |
| NPI Enumeration Date | 07/11/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 149 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 149 | 135 | $3K |