WEST VALLEY FAMILY AND PREVENTIVE MEDICINE
NPI: 1326169632
· WEST VALLEY CITY, UT 84119
· 207Q00000X
$406K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,999 |
$72K |
| 2019 |
2,448 |
$47K |
| 2020 |
1,890 |
$54K |
| 2021 |
2,236 |
$76K |
| 2022 |
2,233 |
$80K |
| 2023 |
1,173 |
$46K |
| 2024 |
1,000 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,523 |
4,303 |
$290K |
| 99213 |
|
3,205 |
2,263 |
$109K |
| 99203 |
|
33 |
26 |
$2K |
| 90471 |
|
337 |
276 |
$2K |
| 36415 |
|
1,903 |
1,512 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
16 |
$634.94 |
| 99211 |
|
26 |
12 |
$569.09 |
| 90686 |
|
548 |
401 |
$352.62 |
| 90656 |
|
21 |
17 |
$40.19 |
| G0008 |
Admin influenza virus vac |
320 |
206 |
$19.03 |
| G0439 |
Ppps, subseq visit |
66 |
50 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
86 |
54 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
47 |
27 |
$0.00 |
| 4037F |
|
81 |
71 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
19 |
16 |
$0.00 |
| G0444 |
Depression screen annual |
330 |
224 |
$0.00 |
| 80305 |
|
66 |
38 |
$0.00 |
| 81002 |
|
180 |
139 |
$0.00 |
| 80306 |
|
160 |
125 |
$0.00 |