NPI: 1609094507 · LOGAN, UT 84341 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,726 | $426K |
| 2019 | 6,223 | $357K |
| 2020 | 5,222 | $282K |
| 2021 | 6,522 | $213K |
| 2022 | 5,043 | $244K |
| 2023 | 3,850 | $254K |
| 2024 | 4,220 | $344K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1023 | Program intake assessment | 4,964 | 4,845 | $1.27M |
| T1017 | Targeted case management | 12,038 | 9,830 | $548K |
| 90472 | 3,153 | 3,051 | $94K | |
| 90471 | 7,035 | 6,801 | $87K | |
| 0001A | 1,311 | 1,104 | $34K | |
| 0002A | 1,157 | 976 | $32K | |
| 0003A | 398 | 376 | $12K | |
| 90715 | 997 | 973 | $12K | |
| 0124A | 306 | 225 | $8K | |
| 0071A | 189 | 187 | $6K | |
| 0072A | 108 | 107 | $4K | |
| 91320 | 61 | 61 | $4K | |
| 90651 | 357 | 338 | $2K | |
| 90480 | 104 | 102 | $1K | |
| 0011A | 133 | 79 | $1K | |
| 90658 | 66 | 66 | $1K | |
| 90682 | 16 | 16 | $1K | |
| 90670 | 578 | 566 | $967.67 | |
| 90686 | 1,277 | 1,260 | $933.40 | |
| 90688 | 763 | 746 | $812.99 | |
| 0012A | 100 | 67 | $793.45 | |
| 0031A | 37 | 20 | $720.00 | |
| 90473 | 30 | 30 | $512.90 | |
| 90734 | 370 | 365 | $446.04 | |
| 0004A | 12 | 12 | $400.00 | |
| 90710 | 270 | 259 | $367.40 | |
| 90713 | 13 | 13 | $270.00 | |
| 90619 | 243 | 228 | $252.99 | |
| 90677 | 41 | 41 | $230.00 | |
| 0081A | 20 | 12 | $120.00 | |
| 90633 | 440 | 432 | $81.58 | |
| 90744 | 132 | 129 | $58.81 | |
| 90716 | 38 | 37 | $46.43 | |
| 90672 | 29 | 29 | $22.33 | |
| 90696 | 223 | 214 | $0.00 | |
| 91301 | 125 | 97 | $0.00 | |
| 90698 | 255 | 249 | $0.00 | |
| 90680 | 95 | 92 | $0.00 | |
| 90656 | 73 | 73 | $0.00 | |
| 90474 | 66 | 64 | $0.00 | |
| 90723 | 14 | 14 | $0.00 | |
| 90697 | 14 | 14 | $0.00 | |
| 90685 | 50 | 47 | $0.00 | |
| 91300 | 21 | 21 | $0.00 | |
| 90687 | 22 | 22 | $0.00 | |
| 90661 | 45 | 43 | $0.00 | |
| 90671 | 17 | 17 | $0.00 |