NPI: 1407481245 · SALT LAKE CITY, UT 84102 · 207QA0401X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 9,007 | $1.31M |
| 2021 | 27,479 | $3.28M |
| 2022 | 27,105 | $3.54M |
| 2023 | 22,329 | $1.41M |
| 2024 | 13,447 | $598K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 20,742 | 16,347 | $4.42M | |
| 96372 | 7,034 | 6,084 | $1.73M | |
| 99213 | 7,623 | 6,355 | $1.34M | |
| J2315 | Naltrexone, depot form | 2,953 | 2,495 | $760K |
| 99215 | Prolong outpt/office vis | 3,830 | 2,951 | $531K |
| 99204 | 2,270 | 2,028 | $374K | |
| 99211 | 7,725 | 5,032 | $273K | |
| Q9991 | Buprenorph xr 100 mg or less | 405 | 337 | $188K |
| Q9992 | Buprenorphine xr over 100 mg | 238 | 195 | $126K |
| G2023 | Specimen collect covid-19 | 7,312 | 4,486 | $111K |
| 80305 | 19,111 | 15,818 | $75K | |
| 87426 | 3,872 | 3,462 | $48K | |
| 91301 | 891 | 843 | $24K | |
| 81025 | 1,954 | 1,712 | $23K | |
| 36415 | 3,504 | 3,152 | $12K | |
| 99496 | 89 | 83 | $11K | |
| 99490 | Ccm add 20min | 1,081 | 983 | $11K |
| 99205 | Prolong outpt/office vis | 111 | 95 | $11K |
| 90686 | 784 | 729 | $9K | |
| 90471 | 813 | 758 | $9K | |
| 99203 | 123 | 115 | $8K | |
| 91309 | 224 | 221 | $6K | |
| 99406 | 2,781 | 2,553 | $5K | |
| 86328 | 296 | 230 | $4K | |
| 0011A | 325 | 310 | $3K | |
| 0094A | 234 | 230 | $3K | |
| 0012A | 253 | 248 | $3K | |
| 91303 | 76 | 67 | $2K | |
| 99417 | Prolong home eval add 15m | 82 | 76 | $2K |
| 0013A | 196 | 181 | $2K | |
| 86580 | 478 | 456 | $1K | |
| 99408 | 1,304 | 1,225 | $521.74 | |
| 86803 | 14 | 14 | $199.98 | |
| J1885 | Ketorolac tromethamine inj | 78 | 69 | $163.54 |
| 96127 | 127 | 122 | $123.26 | |
| 93000 | 12 | 12 | $85.44 | |
| 0031A | 60 | 50 | $80.00 | |
| 81003 | 16 | 12 | $15.30 | |
| 86769 | 59 | 41 | $0.00 | |
| 99409 | 287 | 269 | $0.00 |