Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mountainstar Medical Group- Cache Valley, LLC

Mountainstar Medical Group- Cache Valley, LLC was paid $329K by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoMOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC
PROVIDENCE, UT 84332
33aNPI1144475674assigned 11/25/2008
28Total paid$329K
24GClaims6,159
24DCodes billed7
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Family Medicine Physician providers in Utah

Rank by total paid#43 of 426
Median peer was paid$12K
This provider vs. median26×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,364$67K
20191,194$62K
20201,007$55K
20211,222$69K
2022532$30K
2023578$31K
2024incomplete262$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69% 4,230 3,754 $228K
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 30% 1,504 1,301 $99K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 13 13 $1K
90686 <1% 90 83 $760.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 191 183 $561.58
36415 Collection of venous blood by venipuncture <1% 119 106 $74.19
90472 Immunization administration, each additional vaccine (list separately) 0% 12 12 $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 officialJOSEPH, LOUIS (VP)
Same official

Other billing entities under JOSEPH, LOUIS

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.