GLORI ALLEN MD LLC
NPI: 1285008383
· OREM, UT 84057
· Diagnostic Radiology Physician
· NPI assigned 11/30/2015
$202K
Total Medicaid Paid
Provider Details
| Authorized Official | BURGON, JANELL (CREDENTIALING) |
| NPI Enumeration Date | 11/30/2015 |
Related Entities
Other providers sharing the same authorized official: BURGON, JANELL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,212 |
$59K |
| 2019 |
1,291 |
$62K |
| 2020 |
652 |
$44K |
| 2021 |
434 |
$37K |
| 2022 |
13 |
$155.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,104 |
913 |
$85K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,433 |
1,082 |
$82K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
843 |
738 |
$35K |
| 99307 |
|
13 |
12 |
$155.58 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
127 |
62 |
$46.01 |
| 99053 |
|
82 |
68 |
$0.00 |