MIDTOWN COMMUNITY HEALTH CENTER INC
NPI: 1033547567
· SOUTH SALT LAKE, UT 84115
· Community Health Clinic/Center
· NPI assigned 10/18/2013
Provider Details
| Authorized Official | MARTINEZ, ALICIA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 10/18/2013 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, ALICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
274 |
$14K |
| 2019 |
556 |
$65K |
| 2020 |
195 |
$11K |
| 2021 |
34 |
$5K |
| 2022 |
15 |
$960.00 |
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 |
507 |
448 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
234 |
$33K |
| 90688 |
|
73 |
73 |
$791.02 |
| 80305 |
|
29 |
25 |
$455.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
124 |
$0.00 |
| 90686 |
|
25 |
24 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |