Physician
Utah Navajo Health System, Incorporated
Utah Navajo Health System, Incorporated was paid $2.54M by Medicaid between Apr 2023 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoUTAH NAVAJO HEALTH SYSTEM, INCORPORATED
BLANDING, UT 84511
BLANDING, UT 84511
33aNPI1457489486assigned 03/01/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.54M
24GClaims8,550
24DCodes billed36
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Utah
Rank by total paid#7 of 426
Median peer was paid$12K
This provider vs. median203×
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 | |
|---|---|---|---|
| 2023 | 412 | $97K | |
| 2024incomplete | 8,138 | $2.44M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 2,217 | 1,905 | $1.34M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 699 | 690 | $467K |
| 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 | 11% | 454 | 423 | $281K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.8% | 173 | 167 | $95K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 155 | 145 | $91K |
| 90656 | 1.8% | 126 | 124 | $46K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 63 | 59 | $44K |
| V2020 | Frames, purchases | 1.4% | 540 | 531 | $34K |
| 91322 | <1% | 43 | 42 | $22K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 374 | 336 | $20K |
| 92250 | <1% | 144 | 144 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 440 | 433 | $14K |
24 more codes
| 90686 | <1% | 42 | $11K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 260 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 107 | $7K |
| 81003 | <1% | 104 | $6K | |
| 92310 | <1% | 26 | $5K | |
| 80053 | Comprehensive metabolic panel | <1% | 198 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 186 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 120 | $4K |
| G0467 | Community health center visit, returning patient | <1% | 153 | $3K |
| 80061 | Lipid panel | <1% | 43 | $2K |
| 81025 | <1% | 12 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 44 | $1K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 29 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 160 | $719.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 16 | $719.00 |
| 80305 | 0% | 16 | $0.00 | |
| V2760 | Scratch resistant coating, per lens | 0% | 669 | $0.00 |
| 2028F | 0% | 13 | $0.00 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 205 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 338 | $0.00 |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 0% | 262 | $0.00 |
| 90480 | 0% | 54 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 53 | $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 officialJENSEN, MICHAEL (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Davis Hospital & Medical Center LP | Layton, UT | $22.49M |
| Utah Navajo Health System, Incorporated | Montezuma Creek, UT | $15.67M |
| Utah Navajo Health System, Incorporated | Monument Valley, UT | $1.79M |
| US Homemed, LLC | Manasquan, NJ | $755K |
| Utah Navajo Health System, Incorpoarted | Blanding, UT | $151K |
| Utah Navajo Health System, Incorporated | Navajo Mountain, UT | $93K |
| Frontier Physical Therapy PC | Great Falls, MT | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.