NPI: 1780043042 · IDAHO FALLS, ID 83404 · Obstetrics & Gynecology Physician · NPI assigned 02/15/2016
| Authorized Official | DAVENPORT, KATIE (BILLING) |
| NPI Enumeration Date | 02/15/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 27 | $2K |
| 2021 | 25 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52 | 49 | $3K |