Physician
Blackburn, Marcus
Blackburn, Marcus was paid $69K by Medicaid between Jan 2018 and Feb 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoBLACKBURN, MARCUS
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
33aNPI1598919409assigned 11/06/2008
33bProvider typePediatrics Physician
28Total paid$69K
24GClaims1,348
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#74 of 299
Median peer was paid$16K
This provider vs. median4.3×
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 | 566 | $30K | |
| 2019 | 548 | $27K | |
| 2020 | 203 | $9K | |
| 2021 | 31 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 456 | 435 | $32K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 23% | 251 | 249 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 152 | 147 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 8.8% | 150 | 145 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 87 | 87 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 80 | 78 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 40 | 40 | $1K |
| 90670 | <1% | 12 | 12 | $116.98 | |
| 90686 | 0% | 120 | 119 | $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.