NPI: 1871063974 · EVANSTON, WY 82930 · Case Management Agency · NPI assigned 11/30/2018
| Authorized Official | FUENTES, ROLANDO (FACILITATOR) |
| NPI Enumeration Date | 11/30/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 87 | $7K |
| 2024 | 349 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 436 | 75 | $30K |