Physician Group of Utah INC
Physician Group of Utah INC was paid $2.81M by Medicaid between Jan 2018 and Apr 2023, across 107 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoPHYSICIAN GROUP OF UTAH INC
SOUTH JORDAN, UT 84095
SOUTH JORDAN, UT 84095
33aNPI1477676930assigned 04/09/2007
33bProvider typeSpecialist
28Total paid$2.81M
24GClaims98,706
24DCodes billed107
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Specialist providers in Utah
Rank by total paid#1 of 39
Median peer was paid$25K
This provider vs. median113×
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 | 12,218 | $545K | |
| 2019 | 14,695 | $644K | |
| 2020 | 12,287 | $484K | |
| 2021 | 20,284 | $467K | |
| 2022 | 26,006 | $458K | |
| 2023 | 13,216 | $217K |
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 | 49% | 17,364 | 14,935 | $1.39M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 6,869 | 5,643 | $240K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.3% | 1,394 | 879 | $206K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.0% | 6,973 | 2,817 | $169K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.5% | 3,065 | 1,301 | $125K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.2% | 354 | 125 | $61K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 2,000 | 1,616 | $56K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 586 | 520 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 680 | 592 | $50K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 505 | 456 | $41K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 446 | 396 | $39K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 1,053 | 958 | $38K |
95 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 881 | $38K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.2% | 1,151 | $34K |
| 90837 | Psychotherapy session, about an hour | 1.0% | 233 | $29K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 316 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 335 | $26K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 485 | $24K |
| 0502F | <1% | 3,017 | $21K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,490 | $17K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,309 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 701 | $13K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 274 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 601 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 193 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,772 | $9K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 38 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,361 | $4K |
| 99443 | <1% | 198 | $4K | |
| 97803 | <1% | 125 | $3K | |
| 95886 | <1% | 168 | $3K | |
| 95913 | <1% | 18 | $3K | |
| 95813 | <1% | 26 | $3K | |
| 90674 | <1% | 169 | $3K | |
| 97802 | <1% | 29 | $3K | |
| 59425 | <1% | 20 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $2K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 18 | $2K |
| 59426 | <1% | 16 | $2K | |
| 90685 | <1% | 134 | $2K | |
| 85018 | <1% | 188 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 25 | $1K |
| 80305 | <1% | 552 | $1K | |
| 73564 | <1% | 222 | $879.75 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 16 | $782.68 |
| 20610 | <1% | 93 | $780.51 | |
| 99024 | <1% | 873 | $727.84 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 104 | $713.97 |
| 90723 | <1% | 300 | $706.86 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 131 | $670.53 |
| 90670 | <1% | 430 | $649.09 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $551.31 |
| 64615 | <1% | 13 | $478.59 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $386.33 |
| 59025 | Fetal non-stress test | <1% | 31 | $381.24 |
| 90686 | <1% | 73 | $362.76 | |
| 81002 | <1% | 19 | $318.14 | |
| 90680 | <1% | 186 | $243.26 | |
| 36416 | <1% | 27 | $170.70 | |
| 3008F | <1% | 7,515 | $169.15 | |
| 73110 | <1% | 17 | $149.13 | |
| 0500F | <1% | 55 | $144.01 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 117 | $142.54 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 63 | $139.32 |
| 93000 | <1% | 98 | $136.30 | |
| 73140 | <1% | 18 | $111.12 | |
| 93016 | <1% | 19 | $87.96 | |
| 90647 | <1% | 245 | $82.88 | |
| 73502 | <1% | 14 | $79.58 | |
| 93018 | <1% | 45 | $74.02 | |
| 90474 | <1% | 118 | $62.15 | |
| 99292 | <1% | 66 | $50.30 | |
| 98968 | <1% | 16 | $50.25 | |
| 99407 | <1% | 39 | $42.94 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 187 | $25.90 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 109 | $24.48 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 26 | $13.81 |
| 96127 | <1% | 104 | $13.27 | |
| 97597 | <1% | 14 | $9.53 | |
| 1125F | <1% | 728 | $2.04 | |
| 90461 | <1% | 409 | $0.05 | |
| 1159F | 0% | 5,568 | $0.00 | |
| 3078F | 0% | 2,802 | $0.00 | |
| 1160F | 0% | 6,042 | $0.00 | |
| 0521F | 0% | 297 | $0.00 | |
| 3725F | 0% | 358 | $0.00 | |
| 3077F | 0% | 191 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 25 | $0.00 |
| 90633 | 0% | 21 | $0.00 | |
| 90655 | 0% | 28 | $0.00 | |
| 95923 | 0% | 15 | $0.00 | |
| 1036F | 0% | 4,627 | $0.00 | |
| 1111F | 0% | 82 | $0.00 | |
| 3080F | 0% | 180 | $0.00 | |
| 3074F | 0% | 3,922 | $0.00 | |
| 3075F | 0% | 281 | $0.00 | |
| 1126F | 0% | 224 | $0.00 | |
| 1034F | 0% | 353 | $0.00 | |
| 3079F | 0% | 730 | $0.00 | |
| 1157F | 0% | 64 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 16 | $0.00 |
| 99406 | 0% | 19 | $0.00 | |
| 82962 | 0% | 33 | $0.00 | |
| 90657 | 0% | 21 | $0.00 | |
| 1035F | 0% | 25 | $0.00 | |
| 0503F | 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.
From NPPES
Who's on the registration
Authorized officialKOCH, ASHLEY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Physician Group of Arizona INC | Phoenix, AZ | $10.73M |
| Steward Medical Group INC. | Brookfield, OH | $8.25M |
| Steward Medical Group, INC. | Cocoa, FL | $2.28M |
| Physician Group of Louisiana INC | West Monroe, LA | $857K |
| Steward Medical Group INC. | Easton, PA | $55K |
| Podiatric Physicians of Arizona, INC. | Mesa, AZ | $30K |
| Steward Medical Group, INC. | Brighton, MA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.