NPI: 1881031144 · MOUNT VERNON, IL 62864 · Surgery Physician · NPI assigned 05/28/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13 | 13 | $1K |