NPI: 1134865595 · SANDY, UT 84070 · Wound Care Registered Nurse · NPI assigned 05/09/2022
| Authorized Official | ELLSWORTH, RYAN (CEO) |
| NPI Enumeration Date | 05/09/2022 |
Other providers sharing the same authorized official: ELLSWORTH, RYAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| ELLSWORTH FOOT AND ANKLE CLINIC | RIVERTON | UT | $51K |
| ELLSWORTH FOOT AND ANKLE CLINIC | VERNAL | UT | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 32 | $652.64 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 32 | 17 | $652.64 |