NPI: 1629002852 · HOLLAND, MI 49423 · Family Medicine Physician · NPI assigned 07/11/2006
| Authorized Official | DERKS, JACK (FAMILY PRACTICE) |
| NPI Enumeration Date | 07/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 203 | $13K |
| 2019 | 13 | $908.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 216 | 193 | $14K |