MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC
NPI: 1144475674
· PROVIDENCE, UT 84332
· 207Q00000X
$329K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,364 |
$67K |
| 2019 |
1,194 |
$62K |
| 2020 |
1,007 |
$55K |
| 2021 |
1,222 |
$69K |
| 2022 |
532 |
$30K |
| 2023 |
578 |
$31K |
| 2024 |
262 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
4,230 |
3,754 |
$228K |
| 99214 |
|
1,504 |
1,301 |
$99K |
| 99393 |
|
13 |
13 |
$1K |
| 90686 |
|
90 |
83 |
$760.10 |
| 90471 |
|
191 |
183 |
$561.58 |
| 36415 |
|
119 |
106 |
$74.19 |
| 90472 |
|
12 |
12 |
$0.00 |