Cummings, Daniel

Cummings, Daniel was paid $13K by Medicaid between Jan 2018 and Aug 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoCUMMINGS, DANIEL
PROVO, UT 84601

33aNPI1538114889assigned 05/24/2006

33bProvider typeAddiction Medicine (Family Medicine) Physician

28Total paid$13K

24GClaims270

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Addiction Medicine (Family Medicine) Physician providers in Utah

Rank by total paid#8 of 10

Median peer was paid$21K

This provider vs. median0.6×

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	131	$7K
2019	139	$6K

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	66%	212	189	$9K
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	18%	42	39	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	16%	16	12	$2K

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.