MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC
NPI: 1073795258
· SALT LAKE CITY, UT 84107
· 207Q00000X
$736K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,255 |
$74K |
| 2019 |
1,745 |
$108K |
| 2020 |
2,188 |
$130K |
| 2021 |
1,952 |
$133K |
| 2022 |
1,864 |
$110K |
| 2023 |
1,764 |
$93K |
| 2024 |
1,525 |
$88K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,627 |
6,499 |
$520K |
| 99213 |
|
4,122 |
3,493 |
$199K |
| 99215 |
Prolong outpt/office vis |
145 |
129 |
$11K |
| 99204 |
|
49 |
48 |
$4K |
| 90471 |
|
143 |
129 |
$1K |
| 90686 |
|
88 |
79 |
$668.10 |
| 83036 |
|
13 |
13 |
$97.30 |
| G2211 |
Complex e/m visit add on |
106 |
99 |
$25.26 |