NPI: 1982826467 · ALLEN PARK, MI 48101 · Family Medicine Physician · NPI assigned 05/03/2007
| Authorized Official | DUA, PREM (PRESIDENT) |
| NPI Enumeration Date | 05/03/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,564 | $365K |
| 2019 | 4,659 | $307K |
| 2020 | 3,723 | $244K |
| 2021 | 2,259 | $177K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,404 | 6,008 | $526K | |
| 99213 | 7,709 | 7,046 | $440K | |
| 99395 | 682 | 676 | $56K | |
| 99396 | 531 | 529 | $49K | |
| 99394 | 100 | 100 | $8K | |
| 99393 | 59 | 58 | $4K | |
| 17110 | 46 | 45 | $3K | |
| 99212 | 74 | 69 | $2K | |
| 90460 | 187 | 182 | $2K | |
| 92587 | 94 | 93 | $1K | |
| 99406 | 105 | 103 | $826.75 | |
| 94060 | 24 | 24 | $780.75 | |
| 96110 | 15 | 15 | $141.14 | |
| 96160 | 36 | 36 | $66.78 | |
| 1159F | 124 | 122 | $0.00 | |
| 90461 | 15 | 15 | $0.00 |