NPI: 1073512448 · MIDVALE, UT 84047 · 213E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,583 | $24K |
| 2019 | 2,559 | $21K |
| 2020 | 1,305 | $16K |
| 2021 | 1,678 | $17K |
| 2022 | 1,832 | $18K |
| 2023 | 1,772 | $20K |
| 2024 | 405 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 9,893 | 9,209 | $113K | |
| 11056 | 1,022 | 955 | $7K | |
| 11055 | 941 | 860 | $3K | |
| 99304 | 77 | 76 | $761.69 | |
| 4040F | 64 | 58 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 46 | 43 | $0.00 |
| G8731 | Pain neg no plan | 14 | 13 | $0.00 |
| G8484 | Flu immunize no admin | 18 | 17 | $0.00 |
| G8785 | Bp scrn no perf at interval | 14 | 14 | $0.00 |
| 1123F | 17 | 17 | $0.00 | |
| 1036F | 28 | 27 | $0.00 |