SANTIBANEZ AGUIRRE SLC PC
NPI: 1609334911
· SALT LAKE CITY, UT 84102
· 208M00000X
$280K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
4,854 |
$87K |
| 2020 |
4,532 |
$143K |
| 2021 |
1,603 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
5,985 |
1,901 |
$181K |
| 99223 |
Prolong inpt eval add15 m |
1,325 |
893 |
$70K |
| 99239 |
|
920 |
571 |
$22K |
| 99220 |
|
225 |
90 |
$3K |
| 99222 |
|
25 |
25 |
$2K |
| 99232 |
|
46 |
27 |
$1K |
| 99217 |
|
106 |
39 |
$715.38 |
| G8427 |
Docrev cur meds by elig clin |
1,936 |
1,342 |
$0.00 |
| 1124F |
|
281 |
125 |
$0.00 |
| 1123F |
|
140 |
90 |
$0.00 |