ADVANCED SPINE AND PAIN PLLC
NPI: 1437627080
· DRAPER, UT 84020
· 207LP2900X
$153K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
313 |
$16K |
| 2022 |
522 |
$22K |
| 2023 |
1,153 |
$63K |
| 2024 |
1,320 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,286 |
2,021 |
$136K |
| 99204 |
|
162 |
154 |
$14K |
| J3490 |
Drugs unclassified injection |
359 |
266 |
$979.38 |
| 80305 |
|
122 |
114 |
$951.14 |
| J3301 |
Triamcinolone acet inj nos |
144 |
136 |
$703.04 |
| G2211 |
Complex e/m visit add on |
235 |
220 |
$184.04 |