TX-CARBON EMERGENCY SERVICES LLC
NPI: 1982165767
· PRICE, UT 84501
· Emergency Medicine Physician
· NPI assigned 03/26/2019
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | POWELL, JACOB (SOLE PROPRIETOR) |
| NPI Enumeration Date | 03/26/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,047 |
$41K |
| 2020 |
778 |
$50K |
| 2021 |
507 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
958 |
810 |
$61K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
543 |
456 |
$40K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
620 |
537 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$610.88 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
198 |
104 |
$0.00 |