Physician
Buchanan, Marcus
Buchanan, Marcus was paid $179K by Medicaid between Jan 2018 and Mar 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoBUCHANAN, MARCUS
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
33aNPI1407025794assigned 02/21/2008
33bProvider typePediatrics Physician
28Total paid$179K
24GClaims5,993
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#40 of 299
Median peer was paid$16K
This provider vs. median11×
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 | 1,500 | $47K | |
| 2019 | 2,085 | $65K | |
| 2020 | 1,378 | $35K | |
| 2021 | 928 | $29K | |
| 2022 | 87 | $3K | |
| 2023 | 15 | $554.87 |
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 | 60% | 1,905 | 1,700 | $107K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 355 | 317 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 245 | 229 | $23K |
| 90686 | 3.0% | 539 | 502 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 45 | 42 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 1,443 | 1,338 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 720 | 672 | $2K |
| 99173 | <1% | 185 | 172 | $2K | |
| 90648 | <1% | 158 | 141 | $516.49 | |
| 90670 | <1% | 186 | 166 | $296.18 | |
| 90680 | <1% | 79 | 65 | $226.04 | |
| 90723 | <1% | 105 | 94 | $222.51 |
2 more codes
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.