NPI: 1134211626 · SALT LAKE CITY, UT 84107 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,168 | $345K |
| 2019 | 7,156 | $670K |
| 2020 | 6,131 | $584K |
| 2021 | 7,490 | $753K |
| 2022 | 9,010 | $844K |
| 2023 | 8,429 | $954K |
| 2024 | 6,722 | $933K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | 20,664 | 20,250 | $3.35M |
| 99214 | 3,582 | 2,886 | $394K | |
| H0006 | Alcohol and/or drug services | 7,503 | 4,167 | $301K |
| 90837 | 2,135 | 1,171 | $257K | |
| 90834 | 2,179 | 1,320 | $197K | |
| H2019 | Ther behav svc, per 15 min | 3,250 | 1,650 | $178K |
| 90832 | 2,934 | 1,908 | $152K | |
| 99215 | Prolong outpt/office vis | 980 | 938 | $119K |
| 90791 | 283 | 274 | $47K | |
| 90853 | 2,034 | 1,384 | $35K | |
| 99213 | 597 | 444 | $33K | |
| 80305 | 1,840 | 1,645 | $17K | |
| 90792 | 26 | 26 | $1K | |
| H0033 | Oral med adm direct observe | 23 | 23 | $0.00 |
| 90833 | 76 | 69 | $0.00 |