NPI: 1891721577 · HEBER CITY, UT 84032 · Case Management Agency · NPI assigned 06/24/2006
| Authorized Official | MITCHELL, CAMERON (HEALTH DIRECTOR) |
| NPI Enumeration Date | 06/24/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,168 | $18K |
| 2019 | 1,710 | $17K |
| 2020 | 1,324 | $14K |
| 2021 | 517 | $8K |
| 2022 | 389 | $4K |
| 2023 | 217 | $768.21 |
| 2024 | 105 | $608.67 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,052 | 1,025 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,141 | 2,080 | $23K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 40 | 31 | $5K |
| 90688 | 304 | 295 | $2K | |
| 90473 | 152 | 150 | $1K | |
| 90670 | 392 | 379 | $606.05 | |
| 90647 | 244 | 232 | $439.45 | |
| 90686 | 221 | 213 | $349.24 | |
| 90672 | 165 | 161 | $211.92 | |
| 90474 | 94 | 91 | $150.95 | |
| 90715 | 59 | 58 | $92.86 | |
| 90723 | 247 | 233 | $58.81 | |
| 90685 | 61 | 60 | $0.00 | |
| 90633 | 42 | 41 | $0.00 | |
| 90734 | 49 | 49 | $0.00 | |
| 90680 | 92 | 84 | $0.00 | |
| 90619 | 13 | 12 | $0.00 | |
| 90651 | 43 | 42 | $0.00 | |
| 0503F | 19 | 13 | $0.00 |