NPI: 1689272700 · LAKESIDE, AZ 85929 · Pediatrics Physician · NPI assigned 10/12/2020
| Authorized Official | RAFFLE, REBECCA (BILLING MANAGER) |
| NPI Enumeration Date | 10/12/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 16 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16 | 16 | $1K |