NPI: 1710125000 · LAKESIDE, AZ 85929 · Family Medicine Physician · NPI assigned 01/26/2009
| Authorized Official | MOFFAT, JEFFREY (PRESIDENT) |
| NPI Enumeration Date | 01/26/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 86 | $4K |
| 2019 | 48 | $2K |
| 2020 | 17 | $740.37 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 151 | 133 | $6K |