NPI: 1417965799 · SALT LAKE CITY, UT 84113 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $6K |
| 2019 | 63 | $13K |
| 2021 | 196 | $50K |
| 2022 | 272 | $60K |
| 2023 | 5,212 | $822K |
| 2024 | 6,031 | $1.03M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 01922 | 2,520 | 2,298 | $674K | |
| 00170 | 2,273 | 2,164 | $569K | |
| 00300 | 466 | 448 | $115K | |
| 00731 | 621 | 586 | $112K | |
| 00140 | 455 | 432 | $106K | |
| 00790 | 344 | 318 | $100K | |
| 00920 | 511 | 495 | $69K | |
| 00840 | 365 | 349 | $63K | |
| 00635 | 301 | 256 | $56K | |
| 00126 | 364 | 349 | $46K | |
| 00320 | 81 | 80 | $24K | |
| 00400 | 75 | 61 | $14K | |
| 00532 | 52 | 47 | $10K | |
| 01920 | 16 | 14 | $6K | |
| 36620 | 230 | 215 | $5K | |
| 99140 | 1,288 | 1,131 | $4K | |
| 01112 | 14 | 14 | $4K | |
| 76937 | 281 | 207 | $3K | |
| 99100 | 1,542 | 1,267 | $574.72 |