NPI: 1659144111 · LA GRANDE, OR 97850 · Dermatology Physician · NPI assigned 11/06/2023
| Authorized Official | EARLE, BRYCE (CHIEF OPERATIONS MANAGER) |
| NPI Enumeration Date | 11/06/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 136 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 136 | 130 | $8K |