Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAIN WEST PEDIATRICS

NPI: 1427890953 · TOOELE, UT 84074 · Clinic/Center · NPI assigned 06/06/2024

$5K
Total Medicaid Paid
72
Total Claims
62
Beneficiaries
2
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGONZALES, CHRISTINE (MANAGER)
NPI Enumeration Date06/06/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 72 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30 28 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42 34 $2K