LEWIS, MARK
NPI: 1417987587
· SALT LAKE CITY, UT 84102
· Internal Medicine Physician
· NPI assigned 07/04/2006
$709.23
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$0.00 |
| 2019 |
26 |
$421.95 |
| 2020 |
32 |
$287.28 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$662.16 |
| 90686 |
|
43 |
43 |
$47.07 |