NPI: 1932417607 · IDAHO FALLS, ID 83404 · Family Medicine Physician · NPI assigned 09/16/2010
| Authorized Official | DE BRUYN KOPS, JULIAN (DIRECTOR) |
| NPI Enumeration Date | 09/16/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 106 | $8K |
| 2022 | 137 | $13K |
| 2023 | 66 | $6K |
| 2024 | 40 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 349 | 310 | $32K |