GUSTAVEL ORTHOPEDICS PLLC
NPI: 1861961732
· BOISE, ID 83702
· Sports Medicine (Orthopaedic Surgery) Physician
· NPI assigned 11/20/2018
$861.41
Total Medicaid Paid
Provider Details
| Authorized Official | YOUNG, CINDY (MANAGER) |
| NPI Enumeration Date | 11/20/2018 |
Related Entities
Other providers sharing the same authorized official: YOUNG, CINDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
15 |
$861.41 |
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 |
15 |
14 |
$861.41 |