NPI: 1245294586 · SOUTH JORDAN, UT 84009 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 155 | $4K |
| 2019 | 175 | $2K |
| 2020 | 2,506 | $74K |
| 2021 | 1,946 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99391 | 622 | 487 | $40K | |
| 99392 | 440 | 298 | $33K | |
| 99213 | 606 | 499 | $27K | |
| 99214 | 213 | 181 | $15K | |
| 96110 | 474 | 242 | $8K | |
| 99393 | 55 | 41 | $4K | |
| 90670 | 441 | 376 | $3K | |
| 90686 | 375 | 305 | $2K | |
| 90648 | 319 | 251 | $2K | |
| 90680 | 282 | 240 | $2K | |
| 99212 | 65 | 62 | $2K | |
| 99394 | 21 | 18 | $2K | |
| 54150 | 22 | 12 | $1K | |
| 90723 | 190 | 164 | $1K | |
| 90633 | 180 | 111 | $1K | |
| 83655 | 93 | 66 | $1K | |
| 87426 | 26 | 25 | $904.45 | |
| 99460 | 14 | 14 | $542.50 | |
| 90688 | 89 | 88 | $537.41 | |
| 90471 | 168 | 155 | $199.12 | |
| 90710 | 31 | 28 | $193.28 | |
| 90651 | 22 | 17 | $134.40 | |
| 90698 | 18 | 13 | $102.40 | |
| 88720 | 16 | 13 | $70.40 |