Larson, David

Larson, David was paid $2K by Medicaid between Oct 2018 and Mar 2022, across 2 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 75% of everything it billed.

33Billing provider infoLARSON, DAVID
HEBER CITY, UT 84032

33aNPI1356324511assigned 11/22/2005

33bProvider typePediatrics Physician

28Total paid$2K

24GClaims199

24DCodes billed2

24AFirst – last monthOct 2018 – Mar 2022

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#243 of 299

Median peer was paid$16K

This provider vs. median0.1×

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	14	$72.06
2021	129	$1K
2022	56	$475.14

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	75%	173	101	$1K
90686		25%	26	25	$453.43

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.