INTERNATIONAL HEALTH PROVIDERS, LLC
NPI: 1740525278
· DEDEDO, GU 96929
· Family Medicine Physician
· NPI assigned 12/10/2012
Provider Details
| Authorized Official | CRISOSTOMO, JERRY (CLINIC ADMINISTRATOR) |
| NPI Enumeration Date | 12/10/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
66 |
$2K |
| 2020 |
27 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
56 |
$2K |