NPI: 1275196222 · WEST VALLEY CITY, UT 84119 · Public Health or Welfare Agency · NPI assigned 04/16/2019
| Authorized Official | ACTON, R. (VICE PRESIDENT & CFO) |
| Parent Organization | C.N.S. CORPORATION |
| NPI Enumeration Date | 04/16/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,878 | $18K |
| 2020 | 3,396 | $33K |
| 2021 | 11,218 | $118K |
| 2022 | 2,876 | $29K |
| 2023 | 1,729 | $14K |
| 2024 | 975 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 3,673 | 3,646 | $64K | |
| 91301 | 3,355 | 2,490 | $59K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6,229 | 6,151 | $20K |
| 91300 | 567 | 489 | $17K | |
| 90688 | 940 | 916 | $12K | |
| 91322 | 84 | 84 | $12K | |
| 90651 | 201 | 200 | $8K | |
| 91305 | 243 | 177 | $6K | |
| 90674 | 700 | 700 | $4K | |
| 91303 | 124 | 122 | $4K | |
| 90661 | 323 | 321 | $4K | |
| 90734 | 205 | 203 | $3K | |
| 90480 | 90 | 90 | $2K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 36 | 36 | $2K |
| 90732 | 16 | 16 | $2K | |
| 91307 | 71 | 45 | $2K | |
| 90713 | 88 | 87 | $1K | |
| 0134A | 60 | 57 | $1K | |
| 90633 | 34 | 34 | $903.32 | |
| 91313 | 58 | 56 | $840.00 | |
| 91312 | 27 | 26 | $760.00 | |
| 0003A | 286 | 244 | $720.01 | |
| 0013A | 161 | 126 | $400.00 | |
| 0012A | 1,442 | 1,147 | $385.51 | |
| 90715 | 265 | 262 | $271.25 | |
| 0011A | 1,699 | 1,233 | $261.19 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 396 | 385 | $217.37 |
| 90716 | 39 | 39 | $168.18 | |
| 0002A | 101 | 96 | $120.02 | |
| 90694 | 40 | 37 | $85.49 | |
| 0001A | 157 | 146 | $56.95 | |
| 0031A | 124 | 122 | $40.01 | |
| 0054A | 105 | 88 | $40.01 | |
| 0124A | 25 | 25 | $40.00 | |
| G0008 | Administration of influenza virus vaccine | 22 | 21 | $0.00 |
| 0064A | 18 | 12 | $0.00 | |
| 0053A | 15 | 14 | $0.00 | |
| 0071A | 53 | 36 | $0.00 |