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

Rowan, Mark

Rowan, Mark was paid $37K by Medicaid between Jan 2018 and Jan 2021, across 12 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 52% of everything it billed.

33Billing provider infoROWAN, MARK
PLEASANT GROVE, UT 84062
33aNPI1437449055assigned 04/15/2011
33bProvider typePediatrics Physician
28Total paid$37K
24GClaims1,291
24DCodes billed12
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#111 of 299
Median peer was paid$16K
This provider vs. median2.3×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018349$13K
2019374$13K
2020535$11K
202133$58.08
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 52% 196 182 $19K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 137 135 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 44 44 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.8% 343 343 $2K
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 3.9% 15 15 $1K
90472 Immunization administration, each additional vaccine (list separately) 1.7% 287 287 $633.42
99072 <1% 112 105 $97.56
90685 <1% 13 13 $20.72
90686 0% 70 70 $0.00
90744 0% 12 12 $0.00
90698 0% 12 12 $0.00
90670 0% 50 50 $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.