NPI: 1902520851 · LAS VEGAS, NV 89102 · General Practice Physician · NPI assigned 10/03/2022
| Authorized Official | FLORES FREIRE, YASMANY (MANAGER) |
| NPI Enumeration Date | 10/03/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,589 | $152K |
| 2023 | 13,057 | $477K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90876 | 5,808 | 808 | $501K | |
| Q3014 | Telehealth originating site facility fee | 5,808 | 808 | $57K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5,808 | 808 | $47K |
| H2011 | Crisis intervention service, per 15 minutes | 33 | 21 | $10K |
| 95816 | 19 | 19 | $5K | |
| 96132 | 27 | 27 | $3K | |
| 96133 | 27 | 27 | $2K | |
| 96158 | 89 | 88 | $2K | |
| 96136 | 27 | 27 | $979.92 |