Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Merkley, Erik

Merkley, Erik was paid $132K by Medicaid between Jan 2018 and Mar 2021, across 13 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 46% of everything it billed.

33Billing provider infoMERKLEY, ERIK
SALT LAKE CITY, UT 84105
33aNPI1437417144assigned 05/01/2012
33bProvider typePediatrics Physician
28Total paid$132K
24GClaims3,540
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#47 of 299
Median peer was paid$16K
This provider vs. median8.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,081$47K
2019964$41K
20201,358$40K
2021137$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46% 923 921 $60K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 672 651 $34K
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 18% 390 376 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.9% 161 161 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.1% 201 192 $3K
90472 Immunization administration, each additional vaccine (list separately) 1.9% 492 491 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 15 15 $871.86
90648 <1% 71 71 $631.23
90686 <1% 368 368 $495.96
90670 0% 123 123 $0.00
90474 0% 40 40 $0.00
90680 0% 40 40 $0.00
1 more codes
90723 0% 44 $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.