Southwest Children's Clinic
Southwest Children's Clinic was paid $703K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoSOUTHWEST CHILDREN'S CLINIC
WEST JORDAN, UT 84088
WEST JORDAN, UT 84088
33aNPI1144345737assigned 03/20/2007
33bProvider typeSpecialist
28Total paid$703K
24GClaims30,873
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Utah
Rank by total paid#4 of 39
Median peer was paid$25K
This provider vs. median28×
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 | 470 | $25K | |
| 2019 | 630 | $22K | |
| 2020 | 732 | $23K | |
| 2021 | 4,249 | $113K | |
| 2022 | 5,578 | $178K | |
| 2023 | 8,841 | $160K | |
| 2024incomplete | 10,373 | $183K |
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 | 49% | 5,389 | 4,883 | $346K |
| 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 | 25% | 2,018 | 1,875 | $174K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 1,040 | 1,014 | $42K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 985 | 914 | $36K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.1% | 217 | 195 | $22K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.6% | 351 | 322 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 84 | 81 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 522 | 507 | $9K |
| 87428 | 1.2% | 218 | 209 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 3,950 | 3,754 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,965 | 1,738 | $6K |
| 96127 | <1% | 4,813 | 4,579 | $5K |
45 more codes
| 90686 | <1% | 493 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 246 | $4K |
| 99188 | <1% | 540 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 215 | $3K |
| 99460 | <1% | 40 | $3K | |
| 90480 | <1% | 141 | $2K | |
| 90474 | <1% | 483 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 530 | $1K |
| 90674 | <1% | 581 | $1K | |
| 83655 | <1% | 207 | $949.59 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 44 | $720.09 |
| 85018 | <1% | 624 | $621.05 | |
| 91307 | <1% | 16 | $600.00 | |
| 91308 | <1% | 23 | $458.88 | |
| 36416 | <1% | 255 | $375.94 | |
| 87400 | <1% | 38 | $311.22 | |
| 90671 | <1% | 471 | $253.83 | |
| 92587 | <1% | 61 | $235.18 | |
| 99072 | <1% | 471 | $159.57 | |
| 96161 | <1% | 468 | $104.24 | |
| 90680 | <1% | 486 | $96.04 | |
| 90697 | <1% | 559 | $48.00 | |
| 81003 | <1% | 16 | $37.84 | |
| 80061 | Lipid panel | <1% | 42 | $37.71 |
| 96380 | <1% | 16 | $33.54 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $20.90 |
| 90633 | <1% | 300 | $14.10 | |
| 96160 | <1% | 94 | $4.47 | |
| 99173 | <1% | 871 | $2.41 | |
| 90661 | <1% | 206 | $0.02 | |
| 90710 | <1% | 27 | $0.01 | |
| 90696 | <1% | 14 | $0.01 | |
| 90698 | <1% | 36 | $0.01 | |
| 90670 | 0% | 91 | $0.00 | |
| 99177 | 0% | 114 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 80 | $0.00 |
| 90677 | 0% | 213 | $0.00 | |
| 91319 | 0% | 14 | $0.00 | |
| 91318 | 0% | 13 | $0.00 | |
| 90651 | 0% | 63 | $0.00 | |
| 97802 | 0% | 26 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 90619 | 0% | 15 | $0.00 | |
| 87807 | 0% | 26 | $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 officialPHILLIPS, JILL (OFFICE MANAGER)