NPI: 1689210551 · WEST JORDAN, UT 84084 · Family Medicine Physician · NPI assigned 11/25/2019
| Authorized Official | GONZALEZ, IGNACIO (ADMINISTRATOR) |
| NPI Enumeration Date | 11/25/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 21 | $2K |
| 2023 | 45 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 66 | 53 | $4K |