NPI: 1659391704 · PROVO, UT 84606 · 207VX0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,177 | $67K |
| 2019 | 732 | $3K |
| 2020 | 136 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,139 | 1,009 | $54K | |
| 99214 | 62 | 59 | $4K | |
| 99391 | 34 | 32 | $4K | |
| 99392 | 12 | 12 | $1K | |
| 90686 | 66 | 66 | $1K | |
| 99490 | Ccm add 20min | 54 | 49 | $1K |
| 81003 | 221 | 178 | $984.93 | |
| 36415 | 758 | 641 | $888.59 | |
| 90471 | 490 | 477 | $745.03 | |
| 90688 | 52 | 50 | $660.79 | |
| 99202 | 12 | 12 | $654.19 | |
| 85018 | 86 | 84 | $558.51 | |
| 99212 | 13 | 12 | $324.01 | |
| 36416 | 298 | 277 | $240.35 | |
| 87880 | 13 | 13 | $191.58 | |
| 90685 | 17 | 16 | $156.55 | |
| 85025 | 262 | 210 | $132.26 | |
| 82947 | 155 | 134 | $68.54 | |
| 90472 | 132 | 127 | $43.56 | |
| 90698 | 30 | 28 | $29.04 | |
| 83036 | 69 | 68 | $0.00 | |
| 90680 | 14 | 12 | $0.00 | |
| 90474 | 14 | 12 | $0.00 | |
| 90670 | 42 | 39 | $0.00 |