MA BO INC
NPI: 1588185581
· SALT LAKE CITY, UT 84111
· Family Medicine Physician
· NPI assigned 06/29/2017
$970K
Total Medicaid Paid
Provider Details
| Authorized Official | CACCIATORE, CAITLIN (OFFICE MANAGER) |
| Parent Organization | MA BO INC |
| NPI Enumeration Date | 06/29/2017 |
Related Entities
Other providers sharing the same authorized official: CACCIATORE, CAITLIN
| Provider | City | State | Total Paid |
|---|
| MA BO INC |
SALT LAKE CITY |
UT |
$158K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
358 |
$0.00 |
| 2020 |
2,726 |
$77K |
| 2021 |
11,598 |
$272K |
| 2022 |
21,220 |
$594K |
| 2023 |
17,467 |
$27K |
| 2024 |
28,359 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99342 |
|
2,276 |
2,273 |
$597K |
| 99348 |
|
5,653 |
5,609 |
$371K |
| 99343 |
|
108 |
103 |
$1K |
| 99499 |
|
616 |
615 |
$448.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
138 |
138 |
$39.69 |
| 1160F |
|
8,245 |
8,147 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,415 |
1,407 |
$0.00 |
| 1159F |
|
8,213 |
8,124 |
$0.00 |
| 3077F |
|
510 |
507 |
$0.00 |
| 3725F |
|
7,132 |
7,055 |
$0.00 |
| 4274F |
|
3,579 |
3,552 |
$0.00 |
| 3078F |
|
1,292 |
1,284 |
$0.00 |
| 2028F |
|
133 |
132 |
$0.00 |
| 1003F |
|
41 |
38 |
$0.00 |
| 4040F |
|
30 |
27 |
$0.00 |
| 3288F |
|
41 |
38 |
$0.00 |
| 1090F |
|
41 |
38 |
$0.00 |
| 1158F |
|
14 |
12 |
$0.00 |
| 3074F |
|
1,869 |
1,860 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,462 |
5,422 |
$0.00 |
| 1034F |
|
1,311 |
1,307 |
$0.00 |
| 1000F |
|
7,546 |
7,458 |
$0.00 |
| 1030F |
|
8,116 |
8,043 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
741 |
728 |
$0.00 |
| 4010F |
|
458 |
457 |
$0.00 |
| 1036F |
|
5,357 |
5,310 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,127 |
1,119 |
$0.00 |
| 3080F |
|
568 |
565 |
$0.00 |
| 1035F |
|
504 |
503 |
$0.00 |
| 3008F |
|
7,055 |
7,012 |
$0.00 |
| 99341 |
|
47 |
47 |
$0.00 |
| 1022F |
|
46 |
41 |
$0.00 |
| 3079F |
|
995 |
989 |
$0.00 |
| 3044F |
|
127 |
125 |
$0.00 |
| 99070 |
|
267 |
267 |
$0.00 |
| 1170F |
|
41 |
38 |
$0.00 |
| 3075F |
|
501 |
498 |
$0.00 |
| 1126F |
|
31 |
31 |
$0.00 |
| 1101F |
|
37 |
34 |
$0.00 |
| 1125F |
|
32 |
31 |
$0.00 |
| 1157F |
|
13 |
13 |
$0.00 |