Physician
Senior Health LLC
Senior Health LLC was paid $790K by Medicaid between Feb 2021 and Dec 2024, across 22 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 46% of everything it billed.
33Billing provider infoSENIOR HEALTH LLC
WOODS CROSS, UT 84010
WOODS CROSS, UT 84010
33aNPI1134721228assigned 11/12/2020
33bProvider typeInternal Medicine Physician
28Total paid$790K
24GClaims27,848
24DCodes billed22
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Utah
Rank by total paid#6 of 102
Median peer was paid$6K
This provider vs. median137×
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 | |
|---|---|---|---|
| 2021 | 3,813 | $76K | |
| 2022 | 5,661 | $116K | |
| 2023 | 7,780 | $223K | |
| 2024incomplete | 10,594 | $374K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 46% | 12,516 | 5,903 | $364K |
| 99310 | Prolong nursin fac eval 15m | 25% | 3,243 | 1,846 | $199K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.8% | 3,362 | 2,116 | $62K |
| 99497 | 6.2% | 2,147 | 1,697 | $49K | |
| 99490 | Ccm add 20min | 5.7% | 3,559 | 3,435 | $45K |
| 99306 | Prolong nursin fac eval 15m | 4.8% | 743 | 617 | $38K |
| 99350 | Prolong home eval add 15m | 1.2% | 386 | 311 | $9K |
| 99349 | <1% | 301 | 239 | $6K | |
| 99337 | <1% | 217 | 155 | $5K | |
| 99496 | <1% | 50 | 49 | $4K | |
| 99305 | <1% | 53 | 51 | $2K | |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 756 | 626 | $2K |
10 more codes
| 99316 | <1% | 55 | $1K | |
| 99304 | <1% | 53 | $680.12 | |
| 11721 | <1% | 51 | $651.60 | |
| 99307 | <1% | 94 | $459.06 | |
| 99348 | <1% | 14 | $116.17 | |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) | <1% | 101 | $66.75 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | <1% | 33 | $38.31 |
| 99406 | <1% | 44 | $33.18 | |
| 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 | <1% | 12 | $29.07 |
| 99439 | 0% | 58 | $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 officialBANGERTER, EDWARD (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Senior Health LLC | Woods Cross, UT | $58K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.