TOOELE VALLEY URGENT CARE LLC
NPI: 1831147982
· TOOELE, UT 84074
· 261QU0200X
$747K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,117 |
$97K |
| 2019 |
2,201 |
$111K |
| 2020 |
1,395 |
$81K |
| 2021 |
3,200 |
$147K |
| 2022 |
3,660 |
$183K |
| 2023 |
1,711 |
$64K |
| 2024 |
2,442 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
8,182 |
6,978 |
$564K |
| 99203 |
|
2,602 |
2,294 |
$168K |
| 87880 |
|
4,630 |
4,166 |
$7K |
| 99213 |
|
96 |
94 |
$6K |
| 99000 |
|
904 |
816 |
$1K |
| 87804 |
|
136 |
133 |
$174.25 |
| 81003 |
|
126 |
107 |
$0.00 |
| S9088 |
Services provided in urgent |
18 |
16 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
32 |
31 |
$0.00 |