NPI: 1992211445 · OREM, UT 84057 · Pediatrics Physician · NPI assigned 12/20/2017
Authorized official BRIESACHER, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | BRIESACHER, MARK (SVP CHIEF EXEC PHYS/MG PRES) |
| NPI Enumeration Date | 12/20/2017 |
Other providers sharing the same authorized official: BRIESACHER, MARK
| Provider | City | State | Total Paid |
|---|---|---|---|
| IHC HEALTH SERVICES INC | PROVO | UT | $2.02M |
| IHC HEALTH SERVICES INC | SALT LAKE CITY | UT | $1.86M |
| IHC HEALTH SERVICES INC | PROVO | UT | $979K |
| IHC HEALTH SERVICES INC | PROVO | UT | $776K |
| IHC HEALTH SERVICES INC | ROY | UT | $755K |
| IHC HEALTH SERVICES INC | ST GEORGE | UT | $683K |
| IHC HEALTH SERVICES INC | SPANISH FORK | UT | $624K |
| IHC HEALTH SERVICES INC | MURRAY | UT | $523K |
| IHC HEALTH SERVICES INC | HIGHLAND | UT | $434K |
| IHC HEALTH SERVICES INC | SALT LAKE CITY | UT | $416K |
| IHC HEALTH SERVICES INC | ST GEORGE | UT | $410K |
| IHC HEALTH SERVICES INC | OGDEN | UT | $398K |
| IHC HEALTH SERVICES INC | PROVO | UT | $380K |
| IHC HEALTH SERVICES INC | PROVO | UT | $345K |
| IHC HEALTH SERVICES INC | MURRAY | UT | $344K |
| IHC HEALTH SERVICES INC | SANDY | UT | $344K |
| IHC HEALTH SERVICES INC | ROY | UT | $342K |
| IHC HEALTH SERVICES INC | MURRAY | UT | $208K |
| IHC HEALTH SERVICES INC | SANDY | UT | $203K |
| IHC HEALTH SERVICES INC | LAYTON | UT | $164K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,401 | $77K |
| 2022 | 1,852 | $67K |
| 2023 | 1,889 | $37K |
| 2024 | 1,717 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,987 | 1,806 | $115K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 818 | 753 | $47K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 540 | 534 | $36K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,192 | 1,170 | $5K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 48 | 47 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,331 | 1,303 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 38 | 38 | $2K |
| 90670 | 340 | 339 | $618.30 | |
| 90474 | 12 | 12 | $145.04 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 94 | 65 | $114.30 |
| 90473 | 69 | 69 | $20.72 | |
| 90723 | 258 | 258 | $0.00 | |
| 90647 | 182 | 182 | $0.00 | |
| 90686 | 442 | 430 | $0.00 | |
| 90680 | 194 | 194 | $0.00 | |
| 90677 | 144 | 144 | $0.00 | |
| 90656 | 76 | 75 | $0.00 | |
| 99174 | 15 | 13 | $0.00 | |
| 90633 | 13 | 13 | $0.00 | |
| 99177 | 66 | 66 | $0.00 |