Clinic
Central Utah Clinic, P.C.
Central Utah Clinic, P.C. was paid $45K by Medicaid between Apr 2018 and May 2022, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 93% of everything it billed.
33Billing provider infoCENTRAL UTAH CLINIC, P.C.
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
33aNPI1437205028assigned 01/26/2007
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$45K
24GClaims653
24DCodes billed4
24AFirst – last monthApr 2018 – May 2022
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Utah
Rank by total paid#16 of 25
Median peer was paid$166K
This provider vs. median0.3×
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 | 60 | $7K | |
| 2019 | 77 | $3K | |
| 2020 | 115 | $11K | |
| 2021 | 364 | $20K | |
| 2022 | 37 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 93% | 490 | 401 | $42K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.2% | 15 | 12 | $3K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 74 | 55 | $0.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 74 | 55 | $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 officialHARSTON, JED (DIRECTOR OF MANAGED CARE)
| Provider | Location | Paid |
|---|---|---|
| Revere Health PC | Provo, UT | $23.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.