SANTIBANEZ PAC UTAH
NPI: 1881469484
· SALT LAKE CITY, UT 84115
· Physician Assistant
· NPI assigned 11/24/2023
$424K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSER, JULIE (VP OF OPERATIONS) |
| NPI Enumeration Date | 11/24/2023 |
Related Entities
Other providers sharing the same authorized official: ROSER, JULIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
15,497 |
$424K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,889 |
5,150 |
$263K |
| 99310 |
Prolong nursin fac eval 15m |
2,289 |
1,552 |
$86K |
| 99306 |
Prolong nursin fac eval 15m |
834 |
690 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,324 |
1,079 |
$23K |
| 99497 |
|
925 |
714 |
$19K |
| 99316 |
|
219 |
193 |
$5K |
| 99315 |
|
17 |
17 |
$151.97 |