Physician
Mumford, Scott
Mumford, Scott was paid $25K by Medicaid between Jan 2018 and Feb 2021, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoMUMFORD, SCOTT
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
33aNPI1275561391assigned 06/29/2006
33bProvider typePediatrics Physician
28Total paid$25K
24GClaims1,017
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#130 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 | |
|---|---|---|---|
| 2018 | 286 | $10K | |
| 2019 | 302 | $8K | |
| 2020 | 366 | $7K | |
| 2021 | 63 | $192.92 |
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 | 77% | 316 | 294 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.6% | 301 | 299 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 14 | 12 | $2K |
| 90686 | 3.3% | 103 | 103 | $832.06 | |
| 99177 | 2.2% | 87 | 87 | $547.81 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 111 | 92 | $448.26 |
| 92551 | <1% | 24 | 24 | $174.91 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 61 | 61 | $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.