Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › PROVO › REVERE HEALTH PC

REVERE HEALTH PC

NPI: 1093764805 · PROVO, UT 84604 · Multi-Specialty Clinic/Center · NPI assigned 05/09/2006

$23.91M
Total Medicaid Paid
585,484
Total Claims
483,041
Beneficiaries
355
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARSTON, JED (DIRECTOR OF MANAGED CARE)
NPI Enumeration Date05/09/2006

Related Entities

Other providers sharing the same authorized official: HARSTON, JED

ProviderCityStateTotal Paid
CENTRAL UTAH CLINIC, P.C. AMERICAN FORK UT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,010 $1.36M
2019 37,685 $1.71M
2020 37,359 $1.73M
2021 73,256 $3.66M
2022 79,174 $4.23M
2023 157,185 $5.98M
2024 167,815 $5.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 133,130 111,453 $8.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116,291 100,851 $5.65M
99232 Subsequent hospital care, per day, moderate complexity 23,755 7,809 $866K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,116 803 $843K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,113 9,982 $669K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,631 6,232 $572K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 232 222 $372K
99233 Prolong inpt eval add15 m 5,882 1,271 $305K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,077 3,457 $244K
99215 Prolong outpt/office vis 3,210 2,887 $233K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3,989 3,318 $213K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,288 3,046 $211K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,962 2,640 $191K
99231 Subsequent hospital care, per day, straightforward or low complexity 9,137 3,523 $184K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,150 1,080 $173K
36415 Collection of venous blood by venipuncture 27,141 23,815 $172K
J0585 Injection, onabotulinumtoxina, 1 unit 792 506 $163K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,779 2,547 $146K
95810 Polysomnography; sleep staging with 4 or more additional parameters 556 519 $133K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,159 8,679 $130K
99222 Initial hospital care, per day, moderate complexity 1,513 1,373 $105K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,094 1,830 $104K
80050 General health panel 3,192 3,068 $95K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 375 367 $93K
43235 599 571 $86K
45380 Colonoscopy, flexible; with biopsy, single or multiple 396 387 $85K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 442 427 $85K
71275 Computed tomographic angiography, chest, with contrast material 507 483 $84K
99223 Prolong inpt eval add15 m 819 737 $81K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 663 596 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,478 1,458 $78K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 759 728 $78K
43249 285 273 $77K
93229 193 188 $75K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 432 412 $74K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,125 1,112 $72K
99205 Prolong outpt/office vis 719 686 $72K
71045 Radiologic examination, chest; single view 8,727 6,612 $71K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,258 1,228 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,022 1,014 $65K
90961 945 885 $64K
80053 Comprehensive metabolic panel 7,455 6,765 $62K
17110 881 813 $61K
90834 Psychotherapy, 45 minutes with patient 685 367 $53K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 737 725 $48K
80061 Lipid panel 4,123 3,910 $46K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 634 431 $45K
70450 Computed tomography, head or brain; without contrast material 1,323 1,226 $45K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,794 3,581 $44K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,060 931 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,302 1,227 $39K
73221 324 295 $39K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,302 2,206 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,876 3,482 $38K
95811 156 146 $38K
83036 Hemoglobin; glycosylated (A1C) 5,086 4,857 $37K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,925 6,909 $36K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 543 522 $34K
70551 Magnetic resonance imaging, brain; without contrast material 249 240 $34K
74176 Computed tomography, abdomen and pelvis; without contrast material 532 507 $33K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 786 752 $33K
71046 Radiologic examination, chest; 2 views 2,685 2,415 $31K
64615 535 493 $31K
72141 282 273 $31K
84443 Thyroid stimulating hormone (TSH) 2,424 2,316 $31K
76830 Ultrasound, transvaginal 728 698 $31K
95886 288 243 $30K
97161 707 676 $29K
99051 3,700 3,435 $29K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 545 502 $28K
90472 Immunization administration, each additional vaccine (list separately) 3,079 2,980 $26K
76705 Ultrasound, abdominal, real time with image documentation; limited 772 739 $26K
76642 521 499 $26K
93971 513 447 $25K
99152 1,099 1,026 $25K
76801 398 360 $24K
20610 1,057 910 $24K
71250 218 213 $24K
90837 Psychotherapy, 53 minutes with patient 293 171 $24K
82728 1,992 1,900 $24K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 877 800 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 722 614 $22K
82607 1,760 1,696 $21K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 507 464 $21K
99238 Hospital discharge day management, 30 minutes or less 372 350 $20K
42820 Tonsillectomy and adenoidectomy; younger than age 12 106 100 $19K
94729 512 474 $19K
99385 252 241 $19K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 509 492 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 509 492 $18K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 860 807 $17K
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) 17,708 15,568 $17K
84439 2,957 2,826 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 393 360 $17K
84403 632 604 $16K
95117 2,482 1,013 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 592 563 $16K
73562 1,230 1,051 $16K
73630 1,275 1,117 $15K
87428 356 341 $15K
93970 199 181 $15K
73110 1,068 899 $14K
77067 Screening mammography, bilateral, including computer-aided detection 793 783 $14K
83550 1,739 1,672 $14K
99460 197 189 $13K
83013 195 192 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,377 1,110 $13K
72125 Computed tomography, cervical spine; without contrast material 331 319 $12K
73610 1,090 968 $12K
90715 679 671 $12K
94060 524 492 $12K
76700 Ultrasound, abdominal, real time with image documentation; complete 226 222 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 359 342 $11K
93000 1,445 1,375 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 496 467 $11K
78815 Positron emission tomography (PET) for limited area imaging 13 12 $11K
73030 1,001 857 $11K
90686 2,436 2,329 $11K
99308 Subsequent nursing facility care, per day, straightforward 543 368 $11K
70496 91 88 $11K
81003 4,605 4,241 $11K
70498 91 88 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,045 907 $10K
76536 281 272 $10K
74018 887 771 $10K
73502 688 644 $10K
73130 844 683 $9K
72100 622 581 $9K
59410 13 12 $9K
70486 100 98 $9K
58300 136 135 $9K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 44 43 $9K
84144 438 418 $9K
83540 1,745 1,677 $9K
83970 216 204 $9K
59426 13 12 $8K
82670 328 321 $8K
81025 1,062 1,013 $7K
73140 651 565 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 167 143 $7K
80074 215 210 $7K
76770 183 178 $7K
86140 1,230 1,196 $7K
97014 2,294 870 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 135 110 $7K
99221 112 101 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 185 155 $6K
99384 96 92 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 764 735 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 406 400 $6K
A9585 Injection, gadobutrol, 0.1 ml 464 441 $6K
84481 416 403 $6K
83001 335 331 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,055 1,876 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 435 276 $6K
95913 22 14 $6K
73080 427 376 $6K
84153 338 322 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,638 1,531 $6K
87653 171 168 $6K
82043 995 953 $5K
85027 1,077 1,034 $5K
73564 419 319 $5K
96367 231 139 $5K
90962 129 120 $5K
90656 454 451 $5K
84270 322 311 $5K
17000 229 216 $5K
88321 91 83 $5K
91320 50 49 $4K
11102 96 91 $4K
90651 320 315 $4K
80305 467 423 $4K
96415 211 176 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 233 222 $4K
82570 1,215 1,159 $4K
96127 2,087 1,936 $4K
80048 Basic metabolic panel (calcium, ionized) 689 643 $4K
92557 174 168 $4K
83735 598 554 $4K
69210 249 210 $4K
94727 506 469 $3K
93356 132 126 $3K
78431 95 92 $3K
90461 309 307 $3K
80081 51 48 $3K
93228 204 198 $3K
A4590 Special casting material (e.g., fiberglass) 127 112 $3K
82746 232 229 $3K
74183 13 12 $3K
73590 259 232 $3K
80069 517 470 $3K
0012A 337 337 $3K
85652 1,018 993 $3K
97802 50 48 $3K
97010 4,764 1,986 $3K
83002 166 164 $3K
84146 141 137 $3K
92567 302 286 $3K
J1750 Injection, iron dextran, 50 mg 26 12 $3K
72040 177 166 $3K
73700 29 24 $3K
86376 187 181 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 498 488 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 198 80 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 13 12 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 989 865 $2K
95251 206 196 $2K
83690 304 288 $2K
0011A 324 316 $2K
99386 25 25 $2K
93296 135 129 $2K
93018 332 316 $2K
90474 322 318 $2K
87807 155 146 $2K
73090 189 154 $2K
93017 123 118 $2K
83880 60 59 $2K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 16 13 $2K
87340 152 148 $2K
77066 Tomosynthesis, mammo 162 153 $2K
77080 75 75 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 145 70 $2K
80076 296 257 $2K
81001 552 510 $2K
94762 104 99 $2K
86431 285 279 $2K
72110 70 65 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 454 353 $2K
84702 271 198 $2K
90677 347 344 $1K
99381 29 28 $1K
77063 Screening digital breast tomosynthesis, bilateral 794 784 $1K
90480 92 90 $1K
72146 17 15 $1K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 18 12 $1K
83014 156 153 $1K
10060 14 14 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,062 873 $1K
84550 295 284 $1K
93016 123 118 $1K
73000 101 93 $1K
78434 95 92 $1K
99459 86 81 $1K
82950 198 194 $1K
90670 653 623 $1K
83525 109 103 $1K
85018 451 438 $1K
86762 63 63 $1K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 54 51 $990.29
77065 Tomosynthesis, mammo 34 31 $989.65
Q9957 Injection, perflutren lipid microspheres, per ml 12 12 $977.79
58301 12 12 $917.04
82533 54 51 $909.31
99383 13 13 $905.64
36416 867 837 $853.24
97162 28 26 $841.10
99309 Subsequent nursing facility care, per day, low to moderate complexity 31 24 $827.48
20553 32 29 $785.99
90832 Psychotherapy, 30 minutes with patient 28 13 $772.74
94690 31 29 $730.82
91322 12 12 $729.60
29075 16 12 $707.24
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 37 31 $700.28
85014 263 257 $680.51
64405 19 12 $673.05
J2785 Injection, regadenoson, 0.1 mg 14 12 $669.56
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 427 410 $667.44
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 340 319 $659.70
86803 41 40 $656.01
87400 77 43 $646.63
81002 217 206 $638.00
70491 13 12 $634.45
86780 60 59 $616.50
96110 Developmental screening, with scoring and documentation, per standardized instrument 170 167 $572.30
85610 179 148 $561.33
91200 31 31 $546.60
96375 Therapeutic injection; each additional sequential IV push 63 43 $544.68
93294 46 44 $544.63
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 13 $533.75
86850 62 62 $522.50
20611 14 12 $516.40
76870 14 12 $505.12
J7030 Infusion, normal saline solution , 1000 cc 316 134 $494.02
86200 43 41 $484.40
87081 159 156 $446.61
59025 Fetal non-stress test 18 12 $444.37
73560 52 45 $434.00
64450 19 12 $420.38
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29 25 $412.59
90662 95 94 $404.20
90935 Hemodialysis procedure with single evaluation by a physician 16 12 $383.31
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 554 409 $381.13
90688 346 294 $363.98
0064A 25 18 $360.00
77002 29 26 $358.22
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 84 77 $341.85
90473 27 26 $324.90
90673 15 15 $309.82
99307 54 44 $305.20
92015 Determination of refractive state 1,017 841 $300.09
0134A 36 29 $293.28
94664 118 113 $289.55
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 25 24 $286.96
84480 64 63 $286.69
99457 76 74 $280.23
90710 413 408 $270.15
71101 14 12 $245.21
J2550 Injection, promethazine hcl, up to 50 mg 115 99 $235.67
86580 43 41 $221.48
86900 63 63 $220.54
82040 51 50 $215.66
74019 15 15 $215.18
76882 12 12 $200.55
84156 55 52 $200.18
90680 539 534 $189.15
86901 63 63 $187.29
90723 491 481 $180.08
90671 398 398 $166.07
A9575 Injection, gadoterate meglumine, 0.1 ml 424 398 $160.84
73552 14 12 $154.94
82627 15 12 $150.71
J1200 Injection, diphenhydramine hcl, up to 50 mg 225 158 $142.82
90734 128 127 $141.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 14 14 $133.93
86706 12 12 $114.86
86800 12 12 $98.41
17003 18 16 $77.51
93325 13 12 $73.68
86308 14 13 $71.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 26 25 $68.37
82565 13 13 $65.34
G0008 Administration of influenza virus vaccine 202 199 $51.30
J2405 Injection, ondansetron hydrochloride, per 1 mg 106 54 $50.12
90697 273 272 $48.01
90633 567 562 $36.93
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 75 25 $26.15
99458 26 26 $23.00
97022 25 14 $19.31
90648 715 700 $12.00
51798 12 12 $9.72
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 45 42 $9.22
90970 13 13 $5.89
82962 26 26 $0.66
90696 110 109 $0.17
90700 80 80 $0.13
90698 223 217 $0.01
77062 128 125 $0.00
90707 12 12 $0.00
69209 13 12 $0.00
90681 17 17 $0.00
90744 39 38 $0.00
90619 19 19 $0.00
99024 14 14 $0.00
1111F 15 14 $0.00