Marsden, Michael

Marsden, Michael was paid $49K by Medicaid between Jan 2018 and Dec 2020, across 9 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 71% of everything it billed.

33Billing provider infoMARSDEN, MICHAEL
ST GEORGE, UT 84790

33aNPI1568480804assigned 07/17/2006

33bProvider typePediatrics Physician

28Total paid$49K

24GClaims930

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#97 of 299

Median peer was paid$16K

This provider vs. median3.0×

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
2018	423	$22K
2019	262	$16K
2020	245	$11K

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	71%	423	421	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	134	131	$8K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.2%	100	87	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.7%	15	15	$1K
90472	Immunization administration, each additional vaccine (list separately)	2.4%	113	112	$1K
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	1.2%	12	12	$592.25
90686		<1%	91	91	$355.23
90670		0%	28	28	$0.00
90723		0%	14	14	$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.