Physician
North Valley Emergency Physicians LC
North Valley Emergency Physicians LC was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 52% of everything it billed.
33Billing provider infoNORTH VALLEY EMERGENCY PHYSICIANS LC
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
33aNPI1134177876assigned 05/05/2006
33bProvider typeEmergency Medical Services (Emergency Medicine) Physician
28Total paid$1.49M
24GClaims19,228
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Utah
Rank by total paid#1 of 24
Median peer was paid$3K
This provider vs. median565×
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 | 976 | $48K | |
| 2019 | 886 | $64K | |
| 2020 | 433 | $31K | |
| 2021 | 3,347 | $277K | |
| 2022 | 3,738 | $313K | |
| 2023 | 5,219 | $368K | |
| 2024incomplete | 4,629 | $387K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 52% | 8,069 | 7,237 | $780K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 41% | 8,043 | 7,505 | $608K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.6% | 379 | 364 | $54K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.3% | 772 | 745 | $35K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,449 | 1,273 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 29 | 26 | $3K |
| 99236 | Prolong inpt eval add15 m | <1% | 14 | 13 | $2K |
| 93042 | <1% | 422 | 393 | $771.80 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 30 | 26 | $0.00 |
| 99053 | 0% | 21 | 21 | $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.
From NPPES
Who's on the registration
Authorized officialSHELTON, DEAN (GROUP HEAD)