NPI: 1861789356 · PROVIDENCE, UT 84332 · Family Medicine Physician · NPI assigned 07/05/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $752.32 |
| 2020 | 12 | $551.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24 | 24 | $1K |