NPI: 1912959008 · KAYSVILLE, UT 84037 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,616 | $135K |
| 2019 | 2,605 | $137K |
| 2020 | 1,157 | $76K |
| 2021 | 86 | $4K |
| 2022 | 73 | $871.83 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,998 | 4,432 | $350K | |
| 99213 | 25 | 25 | $2K | |
| 80305 | 596 | 569 | $723.48 | |
| 80307 | 93 | 91 | $226.20 | |
| J0670 | Inj mepivacaine hcl/10 ml | 446 | 388 | $82.43 |
| 99152 | 90 | 71 | $53.06 | |
| J3301 | Triamcinolone acet inj nos | 194 | 180 | $2.56 |
| J2250 | Inj midazolam hydrochloride | 80 | 65 | $0.00 |
| 96103 | 15 | 15 | $0.00 |