FOOTHILL CLINIC, LLC
NPI: 1407947005
· SALT LAKE CITY, UT 84109
· Family Medicine Physician
· NPI assigned 09/27/2006
Provider Details
| Authorized Official | HENRY, DAN (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 09/27/2006 |
Related Entities
Other providers sharing the same authorized official: HENRY, DAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
130 |
$11K |
| 2022 |
93 |
$11K |
| 2023 |
1,818 |
$17K |
| 2024 |
3,376 |
$9K |
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 |
679 |
627 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
675 |
627 |
$21K |
| 80053 |
Comprehensive metabolic panel |
26 |
25 |
$80.91 |
| 90686 |
|
30 |
28 |
$68.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$39.36 |
| 3074F |
|
699 |
619 |
$0.00 |
| 3008F |
|
972 |
854 |
$0.00 |
| 3079F |
|
337 |
309 |
$0.00 |
| 4010F |
|
19 |
15 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 3075F |
|
62 |
57 |
$0.00 |
| 99000 |
|
15 |
13 |
$0.00 |
| 1160F |
|
444 |
391 |
$0.00 |
| 1159F |
|
927 |
831 |
$0.00 |
| 3078F |
|
491 |
445 |
$0.00 |