NPI: 1972510717 · SALT LAKE CITY, UT 84121 · 207RG0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 18 | $3K |
| 2022 | 190 | $7K |
| 2023 | 2,002 | $248K |
| 2024 | 2,553 | $355K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 43239 | 920 | 893 | $154K | |
| 45380 | 519 | 513 | $103K | |
| 45385 | 350 | 344 | $88K | |
| 99214 | 1,259 | 1,181 | $80K | |
| 99204 | 729 | 705 | $66K | |
| 43249 | 57 | 56 | $26K | |
| 45378 | 137 | 135 | $25K | |
| 43235 | 144 | 138 | $20K | |
| 99213 | 481 | 457 | $19K | |
| 00731 | 44 | 44 | $12K | |
| 00812 | 38 | 38 | $10K | |
| 00813 | 13 | 12 | $4K | |
| 99203 | 32 | 31 | $2K | |
| 96413 | 28 | 26 | $2K | |
| 99223 | Prolong inpt eval add15 m | 12 | 12 | $1K |