Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › WEST VALLEY CITY › GRANGER MEDICAL CLINIC PC

GRANGER MEDICAL CLINIC PC

NPI: 1184657041 · WEST VALLEY CITY, UT 84119 · Orthopaedic Surgery Physician · NPI assigned 07/07/2006

$5.05M
Total Medicaid Paid
201,717
Total Claims
180,555
Beneficiaries
150
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENNINGTON, MARY JANE (PRESIDENT)
NPI Enumeration Date07/07/2006

Related Entities

Other providers sharing the same authorized official: PENNINGTON, MARY JANE

ProviderCityStateTotal Paid
GRANGER MEDICAL SPECIALISTS LLC WEST VALLEY CITY UT $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,268 $478K
2019 20,811 $584K
2020 19,334 $418K
2021 40,830 $983K
2022 37,995 $1.01M
2023 28,791 $652K
2024 36,688 $929K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,652 22,715 $1.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,878 23,949 $1.31M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,928 5,211 $454K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,034 4,795 $405K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,176 3,739 $227K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,535 2,348 $154K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,253 1,144 $142K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,966 1,905 $95K
80050 General health panel 1,580 1,403 $68K
80053 Comprehensive metabolic panel 4,510 4,060 $68K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14,554 13,524 $40K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 846 780 $39K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 979 849 $35K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 777 762 $31K
99215 Prolong outpt/office vis 591 534 $30K
90460 Immunization administration through 18 years of age via any route, first or only component 3,562 3,382 $29K
84443 Thyroid stimulating hormone (TSH) 1,982 1,756 $28K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 12 12 $24K
36415 Collection of venous blood by venipuncture 14,796 12,428 $20K
80061 Lipid panel 3,007 2,645 $19K
90461 1,834 1,754 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 553 522 $16K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 234 211 $15K
83036 Hemoglobin; glycosylated (A1C) 3,760 3,318 $13K
87086 Culture, bacterial; quantitative colony count, urine 2,382 2,090 $12K
90472 Immunization administration, each additional vaccine (list separately) 7,139 6,546 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,187 2,784 $11K
99381 143 137 $10K
99493 111 109 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,403 3,928 $10K
99245 60 59 $9K
87806 333 282 $9K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 118 116 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 111 38 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 201 166 $8K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 42 40 $7K
71046 Radiologic examination, chest; 2 views 682 615 $7K
80048 Basic metabolic panel (calcium, ionized) 577 502 $7K
82728 480 417 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 117 116 $6K
83013 98 85 $6K
91320 61 60 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 210 200 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 336 276 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 110 99 $5K
64483 36 29 $5K
82043 496 448 $5K
90677 759 743 $5K
87081 1,362 1,242 $5K
82950 574 515 $5K
90651 527 516 $4K
84439 737 662 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 92 87 $4K
82247 393 240 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 77 66 $4K
90715 351 348 $4K
95117 456 300 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 82 77 $3K
90686 5,312 5,048 $3K
99205 Prolong outpt/office vis 20 17 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 512 423 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,712 804 $3K
99494 62 59 $3K
99000 1,781 1,652 $3K
99173 6,028 5,801 $2K
96127 1,073 912 $2K
95115 305 189 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 687 609 $2K
81003 2,068 1,860 $2K
81001 186 159 $2K
84702 229 150 $2K
83550 642 573 $2K
83540 680 607 $2K
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) 1,640 1,506 $2K
52000 16 16 $2K
90656 359 358 $1K
90480 62 61 $1K
94010 75 72 $1K
85651 438 388 $1K
84153 89 79 $1K
36416 880 815 $1K
99459 100 95 $938.36
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 12 12 $904.50
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 143 133 $862.72
99152 142 111 $822.37
73562 84 64 $784.80
73630 77 69 $726.55
99238 Hospital discharge day management, 30 minutes or less 12 12 $722.14
90688 280 262 $721.88
83014 98 85 $607.29
82570 483 435 $602.77
82248 377 229 $580.89
92015 Determination of refractive state 1,039 975 $565.48
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 14 $552.37
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 14 $552.37
90716 215 210 $530.36
74018 50 44 $513.81
90673 14 14 $506.49
90734 359 353 $494.25
99385 13 13 $490.10
99233 Prolong inpt eval add15 m 21 14 $470.72
90648 4,331 3,931 $436.81
99201 29 27 $434.39
20610 14 14 $418.69
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 27 26 $390.62
81000 135 124 $357.40
99382 12 12 $337.20
94760 1,546 1,367 $282.68
86140 77 70 $272.33
90707 235 230 $268.92
51798 98 91 $261.35
85652 89 86 $245.53
85018 195 182 $240.86
84403 15 12 $232.50
90658 18 17 $199.17
83001 18 12 $194.00
90620 58 56 $191.75
99383 12 12 $184.02
83690 192 180 $181.08
81015 33 28 $176.10
90670 3,591 3,200 $171.31
74019 13 12 $159.30
94762 27 24 $151.73
73610 17 14 $139.59
86580 14 14 $107.66
90680 1,914 1,732 $95.96
82607 108 92 $93.41
90723 2,711 2,437 $92.63
90662 29 25 $70.00
84550 27 25 $48.92
90633 831 798 $37.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg 56 46 $31.69
G0008 Administration of influenza virus vaccine 104 93 $19.80
90696 240 235 $0.02
90700 133 132 $0.01
90474 956 816 $0.00
99024 326 280 $0.00
91307 17 14 $0.00
A4215 Needle, sterile, any size, each 208 170 $0.00
99070 177 146 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 13 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 12 $0.00
83735 14 12 $0.00
87280 14 13 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 138 136 $0.00
90710 277 269 $0.00
A4550 Surgical trays 209 171 $0.00
90685 133 124 $0.00
91300 16 12 $0.00
80305 12 12 $0.00