NPI: 1871654459 · SALT LAKE CITY, UT 84116 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,738 | $97K |
| 2019 | 4,070 | $112K |
| 2020 | 2,002 | $68K |
| 2021 | 4,751 | $144K |
| 2022 | 6,721 | $180K |
| 2023 | 458 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,943 | 2,726 | $206K | |
| 99213 | 3,053 | 2,765 | $165K | |
| 99204 | 683 | 659 | $91K | |
| 90471 | 1,808 | 1,724 | $42K | |
| 99203 | 265 | 254 | $26K | |
| 90472 | 922 | 894 | $21K | |
| 99383 | 154 | 153 | $15K | |
| 99212 | 343 | 285 | $10K | |
| 99384 | 86 | 82 | $9K | |
| 99382 | 61 | 61 | $7K | |
| 36415 | 3,085 | 2,934 | $6K | |
| 90715 | 407 | 400 | $5K | |
| 90713 | 382 | 368 | $2K | |
| 90707 | 140 | 134 | $932.95 | |
| 90686 | 224 | 221 | $768.54 | |
| 90634 | 109 | 105 | $725.16 | |
| 81003 | 1,423 | 1,347 | $716.48 | |
| 90756 | 96 | 96 | $507.98 | |
| 90716 | 231 | 225 | $386.47 | |
| 99173 | 1,413 | 1,356 | $335.63 | |
| 90723 | 25 | 23 | $248.60 | |
| 1125F | 1,633 | 1,517 | $206.91 | |
| 90746 | 42 | 41 | $168.36 | |
| 81025 | 351 | 334 | $142.51 | |
| 90658 | 15 | 15 | $140.06 | |
| 90744 | 101 | 99 | $124.31 | |
| 96372 | 27 | 24 | $41.06 | |
| 3080F | 89 | 85 | $0.00 | |
| 3008F | 12 | 12 | $0.00 | |
| 3077F | 375 | 350 | $0.00 | |
| 90710 | 15 | 15 | $0.00 | |
| 99408 | 12 | 12 | $0.00 | |
| 4004F | 145 | 131 | $0.00 | |
| 80305 | 70 | 68 | $0.00 |