Clinic
Midtown Community Health Center INC
Midtown Community Health Center INC was paid $4.48M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoMIDTOWN COMMUNITY HEALTH CENTER INC
OGDEN, UT 84401
OGDEN, UT 84401
33aNPI1548267420assigned 07/07/2005
33bProvider typeCommunity Health Clinic/Center
28Total paid$4.48M
24GClaims129,630
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Utah
Rank by total paid#1 of 9
Median peer was paid$96K
This provider vs. median46×
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 | 11,010 | $420K | |
| 2019 | 9,879 | $432K | |
| 2020 | 11,219 | $507K | |
| 2021 | 32,038 | $1.09M | |
| 2022 | 26,820 | $1.02M | |
| 2023 | 18,619 | $495K | |
| 2024incomplete | 20,045 | $515K |
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 | 46% | 31,128 | 27,742 | $2.05M |
| 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 | 16% | 7,615 | 7,200 | $703K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 4,441 | 4,083 | $388K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 2,903 | 2,884 | $245K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 2,352 | 2,340 | $175K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 1,710 | 1,702 | $129K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 2,742 | 2,590 | $110K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.4% | 2,527 | 2,375 | $106K |
| 87428 | 1.9% | 1,536 | 1,476 | $86K | |
| 91300 | 1.2% | 3,054 | 1,837 | $52K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.0% | 3,835 | 3,693 | $47K |
| 85018 | 1.0% | 6,249 | 6,173 | $45K |
76 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,032 | $38K |
| 99460 | <1% | 114 | $37K | |
| 90688 | <1% | 4,764 | $36K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 245 | $27K |
| 81000 | <1% | 1,867 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 282 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,024 | $19K |
| 91307 | <1% | 821 | $16K | |
| 81025 | <1% | 1,069 | $14K | |
| 90715 | <1% | 733 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,843 | $8K |
| 90677 | <1% | 867 | $8K | |
| 83655 | <1% | 2,488 | $7K | |
| 91305 | <1% | 372 | $7K | |
| 90651 | <1% | 1,244 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 297 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 556 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 218 | $5K |
| 90686 | <1% | 732 | $5K | |
| 99051 | <1% | 742 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,151 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 42 | $3K |
| 87420 | <1% | 144 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 45 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 28 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 365 | $2K |
| 90656 | <1% | 551 | $2K | |
| 90734 | <1% | 294 | $2K | |
| 90716 | <1% | 341 | $2K | |
| 90698 | <1% | 1,332 | $2K | |
| 91312 | <1% | 109 | $1K | |
| 82962 | <1% | 335 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 43 | $981.12 |
| 90619 | <1% | 608 | $946.25 | |
| 90670 | <1% | 2,238 | $932.92 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $906.70 |
| 90474 | <1% | 1,763 | $877.89 | |
| 90620 | <1% | 113 | $773.83 | |
| 90696 | <1% | 213 | $750.90 | |
| 91303 | <1% | 40 | $709.76 | |
| 90633 | <1% | 767 | $662.06 | |
| 90685 | <1% | 139 | $640.82 | |
| D1120 | Dental cleaning, child | <1% | 26 | $620.80 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 106 | $584.06 |
| 0071A | <1% | 349 | $560.16 | |
| 90697 | <1% | 1,105 | $487.99 | |
| 90744 | <1% | 486 | $472.71 | |
| 82274 | <1% | 29 | $458.12 | |
| 99442 | <1% | 46 | $423.89 | |
| 90680 | <1% | 1,218 | $330.25 | |
| 90710 | <1% | 232 | $328.49 | |
| 0072A | <1% | 313 | $320.08 | |
| 99174 | <1% | 292 | $290.91 | |
| 90672 | <1% | 65 | $277.02 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 129 | $232.00 |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $214.44 |
| 0002A | <1% | 1,203 | $176.81 | |
| 0003A | <1% | 234 | $160.03 | |
| 90480 | <1% | 15 | $124.60 | |
| 96127 | <1% | 87 | $107.33 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 29 | $79.39 |
| 0001A | <1% | 1,355 | $73.91 | |
| 90707 | <1% | 248 | $39.73 | |
| 0124A | <1% | 109 | $37.62 | |
| 96161 | <1% | 54 | $4.34 | |
| 90681 | <1% | 567 | $0.04 | |
| 90473 | 0% | 37 | $0.00 | |
| 82948 | 0% | 14 | $0.00 | |
| 0054A | 0% | 19 | $0.00 | |
| 0053A | 0% | 42 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 99462 | 0% | 16 | $0.00 | |
| 3008F | 0% | 12 | $0.00 | |
| 0031A | 0% | 39 | $0.00 | |
| D1330 | 0% | 17 | $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 officialBUSH, JESSE (COO)