HILLSIDE MEDICAL CLINIC LLC
NPI: 1770853962
· SALEM, UT 84653
· Primary Care Clinic/Center
· NPI assigned 01/05/2012
$246K
Total Medicaid Paid
Provider Details
| Authorized Official | PARRISH, CHAD (ADMINISTRATOR) |
| NPI Enumeration Date | 01/05/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
400 |
$26K |
| 2019 |
522 |
$31K |
| 2020 |
505 |
$37K |
| 2021 |
945 |
$64K |
| 2022 |
840 |
$51K |
| 2023 |
381 |
$22K |
| 2024 |
407 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,354 |
2,600 |
$220K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
485 |
411 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
44 |
37 |
$67.20 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
117 |
98 |
$0.05 |