NPI: 1831807981 · LAS VEGAS, NV 89156 · General Practice Physician · NPI assigned 11/08/2022
| Authorized Official | LANCEL TORRES, DAYANA (MANAGER) |
| NPI Enumeration Date | 11/08/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 10,066 | $417K |
| 2024 | 2,350 | $171K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90876 | 4,306 | 608 | $398K | |
| 90868 | 407 | 104 | $62K | |
| Q3014 | Telehealth originating site facility fee | 3,294 | 481 | $60K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4,101 | 581 | $55K |
| 96132 | 73 | 71 | $5K | |
| 96133 | 57 | 57 | $3K | |
| 96158 | 48 | 48 | $2K | |
| 96136 | 73 | 71 | $2K | |
| 96137 | 31 | 31 | $1K | |
| 95816 | 26 | 26 | $0.00 |