NPI: 1114992856 · PAYSON, UT 84651 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,399 | $43K |
| 2019 | 1,392 | $47K |
| 2020 | 1,628 | $45K |
| 2021 | 171 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,578 | 1,385 | $102K | |
| 99214 | 127 | 123 | $13K | |
| 99392 | 99 | 98 | $11K | |
| 90471 | 779 | 762 | $6K | |
| 99391 | 40 | 39 | $4K | |
| 99393 | 25 | 25 | $2K | |
| 96110 | 594 | 482 | $2K | |
| 99188 | 222 | 221 | $919.10 | |
| 96127 | 294 | 240 | $533.54 | |
| 99177 | 316 | 312 | $358.00 | |
| 87502 | 21 | 19 | $217.60 | |
| 99051 | 81 | 80 | $163.80 | |
| 90686 | 163 | 156 | $150.68 | |
| J1100 | Dexamethasone sodium phos | 25 | 25 | $147.13 |
| 90472 | 187 | 184 | $29.04 | |
| 87651 | 13 | 12 | $0.00 | |
| 90672 | 14 | 14 | $0.00 | |
| 90685 | 12 | 12 | $0.00 |