Bailey, Ernest

Bailey, Ernest was paid $50K by Medicaid between Jan 2018 and Feb 2021, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoBAILEY, ERNEST
OREM, UT 84057

33aNPI1114985314assigned 05/04/2006

33bProvider typePediatrics Physician

28Total paid$50K

24GClaims1,613

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#95 of 299

Median peer was paid$16K

This provider vs. median3.1×

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	437	$14K
2019	514	$17K
2020	562	$14K
2021	100	$4K

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	90%	647	607	$45K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.3%	525	517	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.8%	13	12	$1K
90686		2.0%	161	161	$999.55
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	89	78	$290.84
99177		<1%	29	28	$191.52
90472	Immunization administration, each additional vaccine (list separately)	<1%	76	76	$166.25
99051		<1%	73	73	$82.46

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.