Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mountainstar Medical Group-St. Marks Hospital, LLC

Mountainstar Medical Group-St. Marks Hospital, LLC was paid $736K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoMOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC
SALT LAKE CITY, UT 84107
33aNPI1073795258assigned 11/29/2007
28Total paid$736K
24GClaims12,293
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Utah

Rank by total paid#19 of 426
Median peer was paid$12K
This provider vs. median59×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,255$74K
20191,745$108K
20202,188$130K
20211,952$133K
20221,864$110K
20231,764$93K
2024incomplete1,525$88K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71% 7,627 6,499 $520K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 4,122 3,493 $199K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.5% 145 129 $11K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 49 48 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 143 129 $1K
90686 <1% 88 79 $668.10
83036 Hemoglobin; glycosylated (A1C) <1% 13 13 $97.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 106 99 $25.26

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.

From NPPES

Who's on the registration

Authorized officialJOSEPH, LOUIS (VP)
Same official

Other billing entities under JOSEPH, LOUIS

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.