NPI: 1740416577 · OGDEN, UT 84404 · 363A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,137 | $49K |
| 2019 | 1,308 | $43K |
| 2020 | 999 | $34K |
| 2021 | 111 | $4K |
| 2022 | 14 | $891.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 635 | 608 | $58K | |
| 99213 | 539 | 514 | $33K | |
| 99392 | 203 | 203 | $20K | |
| 99391 | 92 | 89 | $10K | |
| 99393 | 56 | 56 | $5K | |
| 90471 | 955 | 948 | $3K | |
| U0002 | Covid-19 lab test non-cdc | 14 | 14 | $891.40 |
| 90472 | 521 | 518 | $726.55 | |
| 90686 | 200 | 198 | $288.13 | |
| 36415 | 12 | 12 | $70.72 | |
| 90473 | 12 | 12 | $29.04 | |
| 90698 | 102 | 102 | $0.00 | |
| 90651 | 14 | 14 | $0.00 | |
| 90680 | 39 | 39 | $0.00 | |
| 90474 | 38 | 38 | $0.00 | |
| 90670 | 113 | 113 | $0.00 | |
| 90672 | 12 | 12 | $0.00 | |
| 90710 | 12 | 12 | $0.00 |