Pettit, Ethan

Pettit, Ethan was paid $290.57 by Medicaid between Sep 2020 and Sep 2020, across 1 billing code. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.

33Billing provider infoPETTIT, ETHAN
VERNAL, UT 84078

33aNPI1518193184assigned 06/09/2009

33bProvider typePediatrics Physician

28Total paid$290.57

24GClaims14

24DCodes billed1

24AFirst – last monthSep 2020 – Sep 2020

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#290 of 299

Median peer was paid$16K

This provider vs. median0.0×

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
2020	14	$290.57

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	100%	14	13	$290.57

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.