Clinic
Blue Mountain Hospital
Blue Mountain Hospital was paid $570K by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99284, emergency room visit (serious) — 30% of everything it billed.
33Billing provider infoBLUE MOUNTAIN HOSPITAL
BLANDING, UT 84511
BLANDING, UT 84511
33aNPI1558513812assigned 10/17/2008
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$570K
24GClaims28,723
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Utah
Rank by total paid#13 of 43
Median peer was paid$240K
This provider vs. median2.4×
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 | 4,661 | $34K | |
| 2019 | 4,794 | $41K | |
| 2020 | 4,761 | $37K | |
| 2021 | 5,533 | $72K | |
| 2022 | 6,242 | $62K | |
| 2023 | 1,822 | $200K | |
| 2024incomplete | 910 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 2,814 | 2,280 | $173K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 3,675 | 3,200 | $125K |
| 8888888 | Internal/system code - not a standard HCPCS code | 8.3% | 118 | 42 | $48K |
| 80053 | Comprehensive metabolic panel | 8.3% | 4,321 | 3,335 | $47K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.9% | 4,729 | 3,653 | $28K |
| 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 | 4.7% | 198 | 175 | $27K |
| 70450 | Computed tomography, head or brain; without contrast material | 4.5% | 250 | 222 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 209 | 174 | $18K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.8% | 1,229 | 990 | $10K |
| 81000 | 1.6% | 2,754 | 2,248 | $9K | |
| 71046 | Radiologic examination, chest; 2 views | 1.1% | 764 | 642 | $6K |
| 86318 | <1% | 668 | 597 | $5K |
39 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55 | $5K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 418 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 211 | $4K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 956 | $4K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 965 | $3K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 547 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 346 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $2K |
| 73562 | <1% | 49 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $2K |
| 86141 | <1% | 208 | $2K | |
| G0378 | Hospital observation service, per hour | <1% | 83 | $2K |
| 87631 | <1% | 46 | $1K | |
| 41899 | Unlisted procedure, dentoalveolar structures | <1% | 57 | $880.86 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 877 | $827.67 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | <1% | 103 | $760.99 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $687.20 |
| 83735 | <1% | 14 | $506.79 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 386 | $428.37 |
| 85651 | <1% | 38 | $408.25 | |
| 99285 | Emergency room visit (most serious) | <1% | 30 | $318.39 |
| 71045 | Radiologic examination, chest; single view | <1% | 283 | $225.71 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 114 | $152.28 |
| 83690 | <1% | 341 | $46.78 | |
| 85610 | <1% | 144 | $26.11 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $24.90 |
| 82150 | <1% | 103 | $18.27 | |
| 84512 | <1% | 106 | $9.48 | |
| 82803 | 0% | 28 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 59 | $0.00 |
| 87040 | 0% | 56 | $0.00 | |
| 83605 | 0% | 26 | $0.00 | |
| 96376 | 0% | 24 | $0.00 | |
| 82550 | 0% | 20 | $0.00 | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 0% | 27 | $0.00 |
| 81025 | 0% | 94 | $0.00 | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 0% | 61 | $0.00 |
| 88302 | 0% | 52 | $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 officialLYMAN, JEREMY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Blue Mountain Hospital | Blanding, UT | $1.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.