Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMIT CLINICAL SERVICES OF UTAH LLC

NPI: 1356744791 · WEST JORDAN, UT 84084 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 09/30/2014

Deactivated NPI · This NPI was deactivated on 06/17/2020. Reactivated 02/26/2021.
$25K
Total Medicaid Paid
464
Total Claims
375
Beneficiaries
1
Codes Billed
2018-05
First Month
2021-10
Last Month

Provider Details

Authorized OfficialHAKES, CHRIS (OWNER)
NPI Enumeration Date09/30/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 101 $3K
2019 238 $15K
2020 43 $2K
2021 82 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 464 375 $25K