NPI: 1184271215 · HYRUM, UT 84319 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 17 | $0.00 |
| 2021 | 65 | $2K |
| 2023 | 551 | $17K |
| 2024 | 1,001 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 430 | 348 | $27K | |
| 99213 | 248 | 202 | $13K | |
| 99205 | Prolong outpt/office vis | 41 | 40 | $6K |
| 90636 | 30 | 26 | $3K | |
| 96127 | 299 | 252 | $815.42 | |
| 90651 | 12 | 12 | $806.31 | |
| 90471 | 94 | 83 | $596.54 | |
| 90460 | 71 | 63 | $582.40 | |
| 90472 | 33 | 29 | $488.88 | |
| 99211 | 28 | 27 | $380.94 | |
| 90461 | 31 | 27 | $358.24 | |
| 90674 | 13 | 12 | $291.69 | |
| 36415 | 126 | 111 | $258.14 | |
| 87426 | 37 | 25 | $194.26 | |
| 90686 | 12 | 12 | $144.49 | |
| 81002 | 29 | 21 | $76.44 | |
| 99173 | 100 | 87 | $0.00 |