Clinic
Wren Hollow Medical LLC
Wren Hollow Medical LLC was paid $264K by Medicaid between Dec 2020 and Sep 2022, across 3 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 80% of everything it billed.
33Billing provider infoWREN HOLLOW MEDICAL LLC
SOUTH JORDAN, UT 84095
SOUTH JORDAN, UT 84095
33aNPI1245826981assigned 12/16/2020
33bProvider typeCommunity Health Clinic/Center
28Total paid$264K
24GClaims23,003
24DCodes billed3
24AFirst – last monthDec 2020 – Sep 2022
Compared with peers
Next to other Community Health Clinic/Center providers in Utah
Rank by total paid#3 of 9
Median peer was paid$96K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2020 | 368 | $2K | |
| 2021 | 17,027 | $184K | |
| 2022 | 5,608 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 80% | 10,142 | 8,284 | $212K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 20% | 12,723 | 10,130 | $52K |
| 86328 | <1% | 138 | 130 | $135.69 |
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 officialGRAY, KRISTA (OWNER)