NPI: 1366719015 · TOOELE, UT 84074 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,303 | $217K |
| 2019 | 5,416 | $192K |
| 2020 | 4,815 | $177K |
| 2021 | 6,647 | $221K |
| 2022 | 4,830 | $195K |
| 2023 | 2,831 | $91K |
| 2024 | 2,161 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 7,955 | 6,928 | $482K | |
| 99214 | 2,960 | 2,722 | $232K | |
| 99392 | 1,708 | 1,623 | $168K | |
| 99391 | 1,638 | 1,479 | $151K | |
| 99393 | 850 | 772 | $65K | |
| 99394 | 351 | 290 | $28K | |
| 90471 | 3,855 | 3,567 | $10K | |
| 87880 | 2,110 | 1,959 | $5K | |
| 90472 | 2,553 | 2,333 | $3K | |
| 36416 | 330 | 311 | $3K | |
| 90686 | 1,135 | 1,082 | $2K | |
| 90670 | 1,290 | 1,161 | $2K | |
| 99381 | 52 | 50 | $2K | |
| 99212 | 26 | 25 | $1K | |
| 99203 | 15 | 13 | $1K | |
| 90461 | 110 | 100 | $856.22 | |
| 87430 | 66 | 63 | $763.75 | |
| 87807 | 160 | 138 | $647.45 | |
| 90674 | 110 | 106 | $436.34 | |
| 90460 | 194 | 175 | $428.12 | |
| 90633 | 519 | 488 | $422.32 | |
| 90744 | 459 | 401 | $370.53 | |
| 87804 | 553 | 254 | $313.36 | |
| 90651 | 144 | 140 | $312.17 | |
| 90698 | 1,318 | 1,179 | $203.43 | |
| 83655 | 107 | 101 | $169.41 | |
| 96110 | 139 | 132 | $165.53 | |
| 90680 | 708 | 628 | $128.63 | |
| 96127 | 75 | 71 | $76.89 | |
| 85018 | 91 | 86 | $23.31 | |
| 90710 | 395 | 360 | $0.05 | |
| 90696 | 63 | 60 | $0.02 | |
| 90697 | 109 | 107 | $0.02 | |
| 90671 | 162 | 149 | $0.02 | |
| 87426 | 135 | 125 | $0.00 | |
| 90474 | 44 | 44 | $0.00 | |
| 90734 | 94 | 91 | $0.00 | |
| 90715 | 81 | 78 | $0.00 | |
| 90473 | 214 | 180 | $0.00 | |
| 99173 | 125 | 125 | $0.00 |