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.
Provider Details
| Authorized Official | HAKES, CHRIS (OWNER) |
| NPI Enumeration Date | 09/30/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
101 |
$3K |
| 2019 |
238 |
$15K |
| 2020 |
43 |
$2K |
| 2021 |
82 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
464 |
375 |
$25K |