NPI: 1669471801 · SCOTTSBLUFF, NE 69361 · Clinic/Center · NPI assigned 07/19/2005
| Authorized Official | MCCOY, EDWARD (SECRETARY) |
| NPI Enumeration Date | 07/19/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $423.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14 | 13 | $423.57 |