Mountainstar Ogden Pediatrics LLC
Mountainstar Ogden Pediatrics LLC was paid $1.04M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
OGDEN, UT 84405
Next to other Pediatrics Physician providers in Utah
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,906 | $219K | |
| 2019 | 5,971 | $227K | |
| 2020 | 4,518 | $166K | |
| 2021 | 3,853 | $170K | |
| 2022 | 3,714 | $137K | |
| 2023 | 1,797 | $35K | |
| 2024incomplete | 3,698 | $85K |
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 | 43% | 7,143 | 6,538 | $449K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26% | 2,646 | 2,410 | $266K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,718 | 1,657 | $170K |
| 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 | 8.7% | 977 | 923 | $91K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 442 | 437 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,002 | 3,842 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 58 | 55 | $5K |
| 90686 | <1% | 681 | 656 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,440 | 3,306 | $3K |
| 90698 | <1% | 1,096 | 1,072 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 361 | 342 | $772.00 |
| 90670 | <1% | 1,680 | 1,632 | $568.73 |
22 more codes
| 90677 | <1% | 270 | $327.85 | |
| 90473 | <1% | 560 | $294.99 | |
| 90474 | <1% | 83 | $247.37 | |
| 90633 | <1% | 359 | $209.86 | |
| 90723 | <1% | 485 | $189.24 | |
| 90685 | <1% | 73 | $173.34 | |
| 90681 | <1% | 144 | $101.75 | |
| 90648 | <1% | 624 | $56.00 | |
| 90744 | <1% | 348 | $43.51 | |
| 87807 | <1% | 49 | $41.57 | |
| 90710 | <1% | 26 | $41.44 | |
| 90656 | <1% | 16 | $22.43 | |
| 36416 | <1% | 625 | $16.11 | |
| 85018 | <1% | 188 | $3.27 | |
| 90680 | 0% | 590 | $0.00 | |
| 96161 | 0% | 28 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 330 | $0.00 |
| 90696 | 0% | 31 | $0.00 | |
| 90651 | 0% | 27 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 252 | $0.00 |
| 99177 | 0% | 93 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.