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

Joshua Oaks MD PLLC

Joshua Oaks MD PLLC was paid $359K by Medicaid between Jan 2021 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoJOSHUA OAKS MD PLLC
BOUNTIFUL, UT 84010
33aNPI1184125668assigned 02/21/2018
28Total paid$359K
24GClaims25,005
24DCodes billed33
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Utah

Rank by total paid#40 of 426
Median peer was paid$12K
This provider vs. median29×

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

$0$10K$20K$30K2018201920202021202220232024
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
2021123$9K
20224,780$124K
202310,534$101K
2024incomplete9,568$125K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 68% 4,970 4,369 $243K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 1,746 1,588 $80K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.1% 132 129 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.3% 81 70 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 1.2% 286 267 $4K
90461 <1% 125 114 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 54 54 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 474 460 $2K
90674 <1% 241 235 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 156 148 $2K
90661 <1% 146 138 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 12 12 $636.56
21 more codes
96127 <1% 507 $553.24
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 54 $512.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 101 $480.12
90756 <1% 45 $390.36
90472 Immunization administration, each additional vaccine (list separately) <1% 26 $379.78
81002 <1% 61 $68.04
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 42 $23.22
3008F 0% 2,737 $0.00
3074F 0% 2,121 $0.00
3080F 0% 617 $0.00
1034F 0% 391 $0.00
3075F 0% 669 $0.00
3079F 0% 1,027 $0.00
1036F 0% 1,283 $0.00
90677 0% 14 $0.00
3077F 0% 565 $0.00
1159F 0% 2,333 $0.00
1160F 0% 2,346 $0.00
3078F 0% 1,618 $0.00
99177 0% 12 $0.00
3288F 0% 13 $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 officialOAKS, JOSHUA (PRESIDENT)