NPI: 1770263659 · LAS VEGAS, NV 89123 · Family Medicine Physician · NPI assigned 07/24/2023
| Authorized Official | MEDINA, GUSTAVO (MANAGING MEMBER) |
| NPI Enumeration Date | 07/24/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 291 | $315K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2011 | Crisis intervention service, per 15 minutes | 291 | 262 | $315K |