Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAINSTAR OGDEN PEDIATRICS LLC

NPI: 1265694509 · OGDEN, UT 84405 · Pediatrics Physician · NPI assigned 06/27/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more

$1.04M
Total Medicaid Paid
29,457
Total Claims
27,777
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOSEPH, LOUIS (VP)
NPI Enumeration Date06/27/2008

Related Entities

Other providers sharing the same authorized official: JOSEPH, LOUIS

ProviderCityStateTotal Paid
SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC LAS VEGAS NV $4.67M
TANGIPAHOA PARISH SCHOOL SYSTEM AMITE LA $3.97M
RICHMOND MULTI-SPECIALTY, LLC FREDERICKSBURG VA $3.89M
CENTENNIAL HEART LLC NASHVILLE TN $3.47M
WEST VALLEY MEDICAL GROUP LLC CALDWELL ID $2.13M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.94M
EAST FALLS FAMILY MEDICINE, LLC IDAHO FALLS ID $1.05M
ALASKA REGIONAL MEDICAL GROUP, LLC ANCHORAGE AK $872K
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC SALT LAKE CITY UT $736K
GARDEN PARK PHYSICIAN GROUP INC GULFPORT MS $625K
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC CALDWELL ID $484K
MOUNTAINSTAR BEHAVIORAL HEALTH LLC BOUNTIFUL UT $434K
MOUNTAINSTAR CARDIOLOGY ST MARKS LLC SALT LAKE CITY UT $379K
TRISTAR FAMILY CARE, LLC ASHLAND CITY TN $368K
ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC SALT LAKE CITY UT $359K
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC OGDEN UT $358K
MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC PROVIDENCE UT $329K
SKYLINE NEUROSCIENCE ASSOCIATES, LLC NASHVILLE TN $186K
MOUNTAINSTAR SPECIALTY SERVICES LLC SALT LAKE CITY UT $125K
ST. MARK'S PHYSICIAN BILLING, LLC SALT LAKE CITY UT $112K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,698 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,143 6,538 $449K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,646 2,410 $266K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,718 1,657 $170K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 977 923 $91K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 442 437 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,002 3,842 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 58 55 $5K
90686 681 656 $3K
90472 Immunization administration, each additional vaccine (list separately) 3,440 3,306 $3K
90698 1,096 1,072 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 361 342 $772.00
90670 1,680 1,632 $568.73
90677 270 263 $327.85
90473 560 552 $294.99
90474 83 82 $247.37
90633 359 344 $209.86
90723 485 466 $189.24
90685 73 56 $173.34
90681 144 143 $101.75
90648 624 599 $56.00
90744 348 344 $43.51
87807 49 46 $41.57
90710 26 25 $41.44
90656 16 16 $22.43
36416 625 599 $16.11
85018 188 184 $3.27
90680 590 580 $0.00
96161 28 27 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 330 325 $0.00
90696 31 31 $0.00
90651 27 24 $0.00
90734 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 252 100 $0.00
99177 93 89 $0.00