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PREMIER FAMILY MEDICAL - TRAVERSE MOUNTAIN
PREMIER FAMILY MEDICAL - TRAVERSE MOUNTAIN
NPI: 1003202730
· LEHI, UT 84048
· Family Medicine Physician
· NPI assigned 04/09/2015
$724.98
Total Medicaid Paid
Provider Details
| Authorized Official | GUYMON, HEATHER (CREDENTIALING SPECIALIST) |
| Parent Organization | PREMIER FAMILY MEDICAL LLC |
| NPI Enumeration Date | 04/09/2015 |
Related Entities
Other providers sharing the same authorized official: GUYMON, HEATHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
16 |
$724.98 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$724.98 |