Clinic
Granger Medical Specialists LLC
Granger Medical Specialists LLC was paid $617K by Medicaid between Jan 2021 and Nov 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoGRANGER MEDICAL SPECIALISTS LLC
WEST VALLEY CITY, UT 84119
WEST VALLEY CITY, UT 84119
33aNPI1376159368assigned 09/16/2020
33bProvider typeClinic/Center
28Total paid$617K
24GClaims15,033
24DCodes billed72
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Utah
Rank by total paid#11 of 35
Median peer was paid$160K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2021 | 1,409 | $49K | |
| 2022 | 2,007 | $68K | |
| 2023 | 9,425 | $395K | |
| 2024incomplete | 2,192 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 2,383 | 2,216 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,605 | 2,416 | $115K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 1,243 | 1,173 | $105K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 14% | 56 | 55 | $85K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 729 | 705 | $46K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 4.3% | 171 | 156 | $27K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.9% | 599 | 530 | $24K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.4% | 175 | 164 | $9K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.3% | 114 | 106 | $8K |
| 95115 | 1.1% | 1,135 | 678 | $7K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 32 | 32 | $4K |
| 76801 | <1% | 61 | 53 | $4K |
60 more codes
| 52000 | <1% | 31 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 24 | $3K |
| 95117 | <1% | 487 | $3K | |
| 52356 | <1% | 14 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | $2K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 16 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $2K |
| 90677 | <1% | 67 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 56 | $2K |
| 94010 | <1% | 186 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 73 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 232 | $1K |
| 81003 | <1% | 1,179 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 132 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 122 | $950.84 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 40 | $853.49 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 155 | $766.48 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $639.09 |
| 36415 | Collection of venous blood by venipuncture | <1% | 197 | $559.55 |
| 80061 | Lipid panel | <1% | 46 | $555.49 |
| 90686 | <1% | 156 | $481.79 | |
| 90461 | <1% | 74 | $455.73 | |
| 80050 | General health panel | <1% | 14 | $448.40 |
| 81000 | <1% | 292 | $437.17 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $428.55 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $416.36 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 56 | $413.92 |
| 94060 | <1% | 26 | $394.29 | |
| 95012 | <1% | 47 | $377.99 | |
| 80053 | Comprehensive metabolic panel | <1% | 57 | $366.77 |
| 81001 | <1% | 284 | $365.93 | |
| 96127 | <1% | 186 | $353.68 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 16 | $347.60 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 20 | $311.49 |
| 99459 | <1% | 28 | $300.94 | |
| 94762 | <1% | 28 | $265.91 | |
| 51798 | <1% | 190 | $249.88 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $227.84 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | $186.46 |
| 94729 | <1% | 13 | $181.45 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 15 | $169.97 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 42 | $169.75 |
| 94726 | <1% | 13 | $155.35 | |
| 90715 | <1% | 12 | $151.88 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 28 | $99.04 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $77.35 |
| A4617 | Mouth piece | <1% | 66 | $69.48 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $62.15 |
| 92015 | Determination of refractive state | <1% | 20 | $54.96 |
| 81025 | <1% | 12 | $52.83 | |
| 87081 | <1% | 14 | $46.01 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $36.98 |
| 99024 | <1% | 418 | $0.01 | |
| 90723 | 0% | 53 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 15 | $0.00 |
| 94760 | 0% | 21 | $0.00 | |
| 90680 | 0% | 49 | $0.00 | |
| 90648 | 0% | 58 | $0.00 | |
| 99173 | 0% | 68 | $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.
From NPPES
Who's on the registration
Authorized officialPENNINGTON, MARY JANE (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Granger Medical Clinic PC | West Valley City, UT | $5.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.