NPI: 1316055205 · HEBER CITY, UT 84032 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,409 | $472K |
| 2019 | 5,682 | $619K |
| 2020 | 6,541 | $794K |
| 2021 | 8,704 | $1.03M |
| 2022 | 7,530 | $1.35M |
| 2023 | 180 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 8888888 | 4,837 | 2,571 | $3.37M | |
| 85025 | 3,905 | 3,194 | $284K | |
| 96374 | 1,545 | 1,255 | $115K | |
| 99283 | 2,087 | 1,795 | $96K | |
| 0241U | 479 | 439 | $86K | |
| 80050 | 305 | 285 | $59K | |
| 99284 | 1,843 | 1,528 | $45K | |
| 99282 | 462 | 416 | $37K | |
| 87086 | 1,051 | 947 | $26K | |
| 80053 | 3,478 | 2,887 | $24K | |
| U0002 | Covid-19 lab test non-cdc | 587 | 518 | $24K |
| 96375 | 1,144 | 966 | $21K | |
| 81001 | 1,538 | 1,312 | $19K | |
| 99285 | 1,304 | 1,073 | $17K | |
| 84443 | 368 | 348 | $14K | |
| 96372 | 31 | 24 | $9K | |
| 87081 | 461 | 435 | $8K | |
| 83036 | 463 | 438 | $7K | |
| 71046 | 165 | 148 | $7K | |
| 87804 | 48 | 46 | $5K | |
| J1885 | Ketorolac tromethamine inj | 577 | 462 | $4K |
| 71045 | 193 | 184 | $4K | |
| J2405 | Ondansetron hcl injection | 1,032 | 798 | $3K |
| 80061 | 460 | 430 | $3K | |
| 93005 | 854 | 755 | $2K | |
| J7120 | Ringers lactate infusion | 46 | 41 | $2K |
| 70450 | 27 | 25 | $2K | |
| 80048 | 151 | 136 | $2K | |
| 85027 | 14 | 13 | $2K | |
| 84484 | 541 | 460 | $2K | |
| J1170 | Hydromorphone injection | 70 | 48 | $1K |
| 96376 | 16 | 12 | $1K | |
| 87186 | 44 | 39 | $984.06 | |
| 87635 | 13 | 13 | $957.00 | |
| 96361 | 203 | 172 | $776.21 | |
| 84702 | 193 | 154 | $625.43 | |
| 83605 | 770 | 627 | $537.88 | |
| 83690 | 494 | 448 | $527.55 | |
| 87502 | 16 | 15 | $397.58 | |
| 74177 | 169 | 158 | $281.80 | |
| 80307 | 133 | 116 | $208.40 | |
| 85610 | 28 | 25 | $48.58 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 488 | 449 | $42.21 |
| J1100 | Dexamethasone sodium phos | 40 | 37 | $5.02 |
| 86140 | 252 | 225 | $0.00 | |
| J2704 | Inj, propofol, 10 mg | 37 | 24 | $0.00 |
| 85379 | 39 | 37 | $0.00 | |
| G0480 | Drug test def 1-7 classes | 14 | 13 | $0.00 |
| 96365 | 17 | 14 | $0.00 | |
| 82306 | 14 | 13 | $0.00 |