Omura, Terry

Omura, Terry was paid $12K by Medicaid between Feb 2018 and Jan 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoOMURA, TERRY
MURRAY, UT 84107

33aNPI1417939117assigned 11/17/2005

33bProvider typePediatrics Physician

28Total paid$12K

24GClaims300

24DCodes billed6

24AFirst – last monthFeb 2018 – Jan 2022

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#162 of 299

Median peer was paid$16K

This provider vs. median0.8×

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	75	$3K
2019	50	$1K
2020	144	$5K
2022	31	$2K

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	75%	132	122	$9K
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	20%	15	15	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	5.1%	52	52	$630.48
99051		<1%	46	45	$81.34
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	0%	16	16	$0.00
90686		0%	39	39	$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.