Peterson, Jonathan

Peterson, Jonathan was paid $42K by Medicaid between Jan 2018 and Feb 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoPETERSON, JONATHAN
PAYSON, UT 84651

33aNPI1053535930assigned 04/12/2007

33bProvider typePediatrics Physician

28Total paid$42K

24GClaims1,444

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#105 of 299

Median peer was paid$16K

This provider vs. median2.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	601	$20K
2019	367	$14K
2020	464	$7K
2021	12	$587.63

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	87%	557	529	$36K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.2%	24	24	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.3%	398	389	$2K
90672		1.0%	61	61	$426.42
99177		<1%	67	67	$406.78
90686		<1%	47	46	$278.97
90472	Immunization administration, each additional vaccine (list separately)	<1%	83	82	$173.25
90473		<1%	54	54	$159.58
90698		<1%	13	13	$158.10
90670		0%	13	13	$0.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	0%	113	112	$0.00
90474		0%	14	14	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.