Physician
Puzzle Pediatrics LLC
Puzzle Pediatrics LLC was paid $25K by Medicaid between Aug 2021 and Aug 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.
33Billing provider infoPUZZLE PEDIATRICS LLC
PRICE, UT 84501
PRICE, UT 84501
33aNPI1205448057assigned 08/21/2020
33bProvider typePediatrics Physician
28Total paid$25K
24GClaims463
24DCodes billed4
24AFirst – last monthAug 2021 – Aug 2022
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#131 of 299
Median peer was paid$16K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2021 | 161 | $8K | |
| 2022 | 302 | $16K |
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 | 93% | 344 | 277 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 16 | 14 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 78 | 76 | $134.25 |
| 90461 | 0% | 25 | 24 | $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 officialCRIDDLE, CHARLES (DO/OWNER)