Medicaid Provider Spending

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

MOUNTAINSTAR OGDEN PEDIATRICS LLC

NPI: 1265694509 · OGDEN, UT 84405 · 208000000X

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

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 7,143 6,538 $449K
99391 2,646 2,410 $266K
99392 1,718 1,657 $170K
99214 977 923 $91K
99393 442 437 $41K
90471 4,002 3,842 $6K
99394 58 55 $5K
90686 681 656 $3K
90472 3,440 3,306 $3K
90698 1,096 1,072 $2K
87880 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 330 325 $0.00
90696 31 31 $0.00
90651 27 24 $0.00
90734 12 12 $0.00
87804 252 100 $0.00
99177 93 89 $0.00