NPI: 1518256650 · TOOELE, UT 84074 · 207QA0401X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,425 | $233K |
| 2019 | 4,658 | $259K |
| 2020 | 4,087 | $243K |
| 2021 | 5,523 | $271K |
| 2022 | 5,187 | $286K |
| 2023 | 4,636 | $260K |
| 2024 | 5,446 | $237K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 13,860 | 11,117 | $1.03M | |
| 99213 | 6,437 | 5,427 | $346K | |
| 99215 | Prolong outpt/office vis | 982 | 577 | $114K |
| 99493 | 637 | 509 | $69K | |
| 99490 | Ccm add 20min | 1,703 | 1,489 | $47K |
| 96372 | 851 | 674 | $36K | |
| 99204 | 285 | 268 | $30K | |
| 90837 | 235 | 139 | $28K | |
| 80305 | 3,434 | 2,235 | $16K | |
| 99211 | 523 | 275 | $15K | |
| 99354 | 476 | 195 | $8K | |
| 99439 | 410 | 368 | $7K | |
| 99203 | 95 | 85 | $6K | |
| 99492 | 61 | 55 | $6K | |
| 87428 | 124 | 123 | $5K | |
| 90853 | 499 | 249 | $4K | |
| 99494 | 139 | 127 | $3K | |
| 87426 | 122 | 99 | $3K | |
| 90832 | 40 | 34 | $3K | |
| H2019 | Ther behav svc, per 15 min | 27 | 15 | $2K |
| 99051 | 368 | 344 | $2K | |
| H0006 | Alcohol and/or drug services | 65 | 59 | $1K |
| 90688 | 144 | 136 | $1K | |
| G2086 | Off base opioid tx 70min | 18 | 15 | $822.28 |
| 96127 | 536 | 432 | $799.06 | |
| 99487 | Ccm add 20min | 19 | 15 | $770.84 |
| 87880 | 135 | 125 | $687.95 | |
| 80320 | 124 | 80 | $331.62 | |
| 87502 | 16 | 13 | $307.38 | |
| 90471 | 236 | 222 | $227.19 | |
| 81003 | 170 | 148 | $182.02 | |
| 80306 | 105 | 60 | $149.67 | |
| 36415 | 125 | 93 | $123.32 | |
| 99000 | 128 | 111 | $101.04 | |
| G2211 | Complex e/m visit add on | 46 | 38 | $81.35 |
| 90658 | 12 | 12 | $62.16 | |
| 99415 | Prolong outpt/office vis | 258 | 141 | $13.43 |
| 3078F | 74 | 63 | $0.00 | |
| 90682 | 16 | 15 | $0.00 | |
| 3074F | 106 | 91 | $0.00 | |
| 3079F | 56 | 48 | $0.00 | |
| 3044F | 230 | 179 | $0.00 | |
| 3075F | 15 | 14 | $0.00 | |
| G0008 | Admin influenza virus vac | 20 | 13 | $0.00 |