NPI: 1851920151 · ROOSEVELT, UT 84066 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26,712 | $1.75M |
| 2022 | 27,424 | $2.09M |
| 2023 | 16,815 | $1.64M |
| 2024 | 9,776 | $1.42M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 30,090 | 26,150 | $3.99M |
| 99213 | 27,806 | 24,392 | $1.81M | |
| 99214 | 8,650 | 7,674 | $640K | |
| 99391 | 1,551 | 1,403 | $96K | |
| 99212 | 723 | 662 | $75K | |
| 99393 | 692 | 682 | $73K | |
| 90471 | 1,907 | 1,723 | $55K | |
| 99392 | 1,342 | 1,291 | $51K | |
| 90472 | 1,771 | 1,620 | $40K | |
| 99203 | 392 | 381 | $29K | |
| 99394 | 181 | 177 | $13K | |
| 92014 | 116 | 115 | $10K | |
| 96372 | 44 | 43 | $6K | |
| 90473 | 314 | 282 | $3K | |
| 20610 | 14 | 13 | $1K | |
| 87880 | 1,405 | 1,309 | $700.98 | |
| 90715 | 89 | 82 | $553.43 | |
| 90633 | 313 | 286 | $380.10 | |
| 99202 | 32 | 30 | $265.82 | |
| 11721 | 12 | 12 | $210.00 | |
| 99383 | 17 | 14 | $100.39 | |
| 87811 | 36 | 32 | $82.76 | |
| 81002 | 391 | 355 | $27.96 | |
| 99188 | 127 | 118 | $0.00 | |
| 90681 | 138 | 137 | $0.00 | |
| 80306 | 187 | 162 | $0.00 | |
| 90700 | 59 | 52 | $0.00 | |
| 90648 | 27 | 27 | $0.00 | |
| 87400 | 34 | 33 | $0.00 | |
| 90734 | 57 | 53 | $0.00 | |
| 90649 | 45 | 45 | $0.00 | |
| 90710 | 44 | 39 | $0.00 | |
| 0002A | 36 | 29 | $0.00 | |
| J3301 | Triamcinolone acet inj nos | 15 | 14 | $0.00 |
| 90677 | 282 | 281 | $0.00 | |
| 90647 | 573 | 530 | $0.00 | |
| 90723 | 787 | 723 | $0.00 | |
| 90680 | 233 | 195 | $0.00 | |
| 90696 | 29 | 27 | $0.00 | |
| 0011A | 12 | 12 | $0.00 | |
| 0001A | 112 | 85 | $0.00 | |
| 83036 | 12 | 12 | $0.00 | |
| 85018 | 30 | 30 | $0.00 |