WESTERN PEAKS PHYSICIAN GROUP
NPI: 1134725500
· SALT LAKE CITY, UT 84105
· Pulmonary Disease Physician
· NPI assigned 12/10/2020
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | IRAVANI, AIDIN (MANAGING MEMBER) |
| NPI Enumeration Date | 12/10/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
958 |
$50K |
| 2022 |
772 |
$42K |
| 2024 |
268 |
$15K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,730 |
281 |
$92K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
268 |
24 |
$15K |