UTAH STATE UNIVERSITY
NPI: 1174694095
· LOGAN, UT 84322
· Developmental Disabilities Clinic/Center
· NPI assigned 11/13/2006
$800.96
Total Medicaid Paid
Provider Details
| Authorized Official | CLEMENTS, KATHRYN (FINANCIAL OFFICER) |
| Parent Organization | UTAH STATE UNIVERSITY |
| NPI Enumeration Date | 11/13/2006 |
Related Entities
Other providers sharing the same authorized official: CLEMENTS, KATHRYN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$800.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$800.96 |