Lewis, Mark

Lewis, Mark was paid $709.23 by Medicaid between Oct 2018 and Oct 2020, across 2 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 93% of everything it billed.

33Billing provider infoLEWIS, MARK
SALT LAKE CITY, UT 84102

33aNPI1417987587assigned 07/04/2006

33bProvider typeInternal Medicine Physician

28Total paid$709.23

24GClaims72

24DCodes billed2

24AFirst – last monthOct 2018 – Oct 2020

Compared with peers

Next to other Internal Medicine Physician providers in Utah

Rank by total paid#82 of 102

Median peer was paid$6K

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	$0.00
2019	26	$421.95
2020	32	$287.28

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	93%	29	29	$662.16
90686		6.6%	43	43	$47.07

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.