NPI: 1538915210 · POPLAR BLUFF, MO 63901 · Clinic/Center · NPI assigned 04/24/2024
| Authorized Official | GIBBS, TRACY (MANAGING DIRECTOR) |
| NPI Enumeration Date | 04/24/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 72 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 72 | 53 | $5K |