NPI: 1255757670 · SALT LAKE CITY, UT 84104 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,630 | $72K |
| 2019 | 1,575 | $102K |
| 2020 | 1,381 | $66K |
| 2021 | 3,044 | $135K |
| 2022 | 2,294 | $101K |
| 2023 | 775 | $27K |
| 2024 | 1,222 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,153 | 2,831 | $299K | |
| 99213 | 1,911 | 1,763 | $91K | |
| 99391 | 657 | 601 | $76K | |
| 99392 | 292 | 277 | $37K | |
| 90471 | 1,742 | 1,667 | $10K | |
| 99393 | 50 | 45 | $4K | |
| 99394 | 33 | 31 | $4K | |
| 99204 | 12 | 12 | $3K | |
| 90472 | 1,242 | 1,191 | $2K | |
| 90837 | 17 | 12 | $2K | |
| 87636 | 14 | 12 | $2K | |
| 99462 | 12 | 12 | $1K | |
| 0002A | 20 | 20 | $800.00 | |
| 90688 | 544 | 519 | $702.93 | |
| 0031A | 29 | 26 | $680.00 | |
| 36415 | 384 | 346 | $568.90 | |
| 0001A | 12 | 12 | $480.00 | |
| 90677 | 79 | 77 | $249.00 | |
| 36416 | 362 | 317 | $241.94 | |
| 90473 | 54 | 50 | $151.34 | |
| 90686 | 255 | 250 | $91.71 | |
| 91303 | 28 | 26 | $80.00 | |
| 80305 | 235 | 186 | $65.97 | |
| 90658 | 87 | 87 | $65.84 | |
| 96127 | 39 | 38 | $29.14 | |
| 87804 | 13 | 13 | $0.00 | |
| 90670 | 282 | 266 | $0.00 | |
| 91300 | 37 | 37 | $0.00 | |
| 90633 | 15 | 13 | $0.00 | |
| 90647 | 206 | 196 | $0.00 | |
| 90697 | 25 | 24 | $0.00 | |
| 90723 | 14 | 13 | $0.00 | |
| 90680 | 54 | 50 | $0.00 | |
| 90651 | 12 | 12 | $0.00 |