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

Granger Medical Clinic PC

Granger Medical Clinic PC was paid $5.05M by Medicaid between Jan 2018 and Dec 2024, across 150 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoGRANGER MEDICAL CLINIC PC
WEST VALLEY CITY, UT 84119
33aNPI1184657041assigned 07/07/2006
28Total paid$5.05M
24GClaims201,717
24DCodes billed150
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Utah

Rank by total paid#1 of 31
Median peer was paid$15K
This provider vs. median340×

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$50K$100K$150K2018201920202021202220232024
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
201817,268$478K
201920,811$584K
202019,334$418K
202140,830$983K
202237,995$1.01M
202328,791$652K
2024incomplete36,688$929K
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 29% 25,652 22,715 $1.48M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 26,878 23,949 $1.31M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.0% 5,928 5,211 $454K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.0% 5,034 4,795 $405K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.5% 4,176 3,739 $227K
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 3.0% 2,535 2,348 $154K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.8% 1,253 1,144 $142K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 1,966 1,905 $95K
80050 General health panel 1.4% 1,580 1,403 $68K
80053 Comprehensive metabolic panel 1.3% 4,510 4,060 $68K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 14,554 13,524 $40K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 846 780 $39K
138 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 979 $35K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 777 $31K
99215 Doctor's office visit, returning patient (complex) <1% 591 $30K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,562 $29K
84443 Thyroid stimulating hormone (TSH) <1% 1,982 $28K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 12 $24K
36415 Collection of venous blood by venipuncture <1% 14,796 $20K
80061 Lipid panel <1% 3,007 $19K
90461 <1% 1,834 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 553 $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 <1% 234 $15K
83036 Hemoglobin; glycosylated (A1C) <1% 3,760 $13K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,382 $12K
90472 Immunization administration, each additional vaccine (list separately) <1% 7,139 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,187 $11K
99381 <1% 143 $10K
99493 <1% 111 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 4,403 $10K
99245 <1% 60 $9K
87806 <1% 333 $9K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 118 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 111 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 201 $8K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 42 $7K
71046 Radiologic examination, chest; 2 views <1% 682 $7K
80048 Basic metabolic panel (calcium, ionized) <1% 577 $7K
82728 <1% 480 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 117 $6K
83013 <1% 98 $6K
91320 <1% 61 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 210 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 336 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 110 $5K
64483 <1% 36 $5K
82043 <1% 496 $5K
90677 <1% 759 $5K
87081 <1% 1,362 $5K
82950 <1% 574 $5K
90651 <1% 527 $4K
84439 <1% 737 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 92 $4K
82247 <1% 393 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 77 $4K
90715 <1% 351 $4K
95117 <1% 456 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 82 $3K
90686 <1% 5,312 $3K
99205 Prolong outpt/office vis <1% 20 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 512 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,712 $3K
99494 <1% 62 $3K
99000 <1% 1,781 $3K
99173 <1% 6,028 $2K
96127 <1% 1,073 $2K
95115 <1% 305 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 687 $2K
81003 <1% 2,068 $2K
81001 <1% 186 $2K
84702 <1% 229 $2K
83550 <1% 642 $2K
83540 <1% 680 $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% 1,640 $2K
52000 <1% 16 $2K
90656 <1% 359 $1K
90480 <1% 62 $1K
94010 <1% 75 $1K
85651 <1% 438 $1K
84153 <1% 89 $1K
36416 <1% 880 $1K
99459 <1% 100 $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 <1% 12 $904.50
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 143 $862.72
99152 <1% 142 $822.37
73562 <1% 84 $784.80
73630 <1% 77 $726.55
99238 Hospital discharge day management, 30 minutes or less <1% 12 $722.14
90688 <1% 280 $721.88
83014 <1% 98 $607.29
82570 <1% 483 $602.77
82248 <1% 377 $580.89
92015 Determination of refractive state <1% 1,039 $565.48
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 14 $552.37
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14 $552.37
90716 <1% 215 $530.36
74018 <1% 50 $513.81
90673 <1% 14 $506.49
90734 <1% 359 $494.25
99385 <1% 13 $490.10
99233 Hospital visit by a doctor, follow-up day (complex) <1% 21 $470.72
90648 <1% 4,331 $436.81
99201 <1% 29 $434.39
20610 <1% 14 $418.69
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 27 $390.62
81000 <1% 135 $357.40
99382 <1% 12 $337.20
94760 <1% 1,546 $282.68
86140 <1% 77 $272.33
90707 <1% 235 $268.92
51798 <1% 98 $261.35
85652 <1% 89 $245.53
85018 <1% 195 $240.86
84403 <1% 15 $232.50
90658 <1% 18 $199.17
83001 <1% 18 $194.00
90620 <1% 58 $191.75
99383 <1% 12 $184.02
83690 <1% 192 $181.08
81015 <1% 33 $176.10
90670 <1% 3,591 $171.31
74019 <1% 13 $159.30
94762 <1% 27 $151.73
73610 <1% 17 $139.59
86580 <1% 14 $107.66
90680 <1% 1,914 $95.96
82607 <1% 108 $93.41
90723 <1% 2,711 $92.63
90662 <1% 29 $70.00
84550 <1% 27 $48.92
90633 <1% 831 $37.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 56 $31.69
G0008 Administration of influenza virus vaccine <1% 104 $19.80
90696 <1% 240 $0.02
90700 <1% 133 $0.01
90474 0% 956 $0.00
99024 0% 326 $0.00
91307 0% 17 $0.00
A4215 Needle, sterile, any size, each 0% 208 $0.00
99070 0% 177 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 0% 13 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 13 $0.00
83735 0% 14 $0.00
87280 0% 14 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 0% 138 $0.00
90710 0% 277 $0.00
A4550 Surgical trays 0% 209 $0.00
90685 0% 133 $0.00
91300 0% 16 $0.00
80305 0% 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 officialPENNINGTON, MARY JANE (PRESIDENT)
Same official

Other billing entities under PENNINGTON, MARY JANE

Full network →
ProviderLocationPaid
Granger Medical Specialists LLCWest Valley City, UT$617K

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