Clinic
Tooele Urology LLC
Tooele Urology LLC was paid $4K by Medicaid between Jan 2018 and May 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.
33Billing provider infoTOOELE UROLOGY LLC
SOUTH JORDAN, UT 84095
SOUTH JORDAN, UT 84095
33aNPI1457599912assigned 01/21/2009
33bProvider typeLithotripsy Clinic/Center
28Total paid$4K
24GClaims409
24DCodes billed3
24AFirst – last monthJan 2018 – May 2023
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 | 107 | $0.00 | |
| 2019 | 70 | $3K | |
| 2020 | 81 | $3.06 | |
| 2021 | 109 | $1K | |
| 2022 | 14 | $0.00 | |
| 2023 | 28 | $45.89 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 99% | 50 | 39 | $4K |
| 81003 | 1.2% | 323 | 211 | $48.95 | |
| 51798 | 0% | 36 | 25 | $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 officialHIBBERT, DAN (MANAGER)
Parent organizationUROLOGIC SURGERY ASSOCIATES