NPI: 1710130018 · BOARDMAN, OH 44512 · General Practice Physician · NPI assigned 10/30/2008
| Authorized Official | BURNICH, LORETTA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/30/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20 | $156.52 |
| 2020 | 68 | $702.67 |
| 2021 | 31 | $208.62 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 119 | 87 | $1K |