NPI: 1578665451 · SEDALIA, MO 65301 · Primary Care Clinic/Center · NPI assigned 09/02/2006
| Authorized Official | SHAFFIEY, ASSAD (PRESIDENT) |
| NPI Enumeration Date | 09/02/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $491.40 |
| 2019 | 18 | $575.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31 | 25 | $1K |