STATE OF UTAH
NPI: 1811978620
· PROVO, UT 84606
· Psychiatric Hospital
· NPI assigned 11/09/2005
$442.79
Total Medicaid Paid
Provider Details
| Authorized Official | EARNSHAW, DALLAS (SUPERINTENDENT) |
| NPI Enumeration Date | 11/09/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
140 |
$419.15 |
| 2019 |
22 |
$9.64 |
| 2020 |
27 |
$14.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
162 |
93 |
$428.79 |
| 0011A |
|
27 |
14 |
$14.00 |