Gut Whisperer PC

Gut Whisperer PC was paid $220K by Medicaid between Mar 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoGUT WHISPERER PC
RIVERTON, UT 84065

33aNPI1619139169assigned 06/26/2008

33bProvider typeGastroenterology Physician

28Total paid$220K

24GClaims5,020

24DCodes billed11

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Utah

Rank by total paid#6 of 25

Median peer was paid$11K

This provider vs. median19×

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	140	$3K
2019	411	$9K
2020	1,153	$21K
2021	1,796	$72K
2022	700	$56K
2023	489	$32K
2024incomplete	331	$27K

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	49%	1,804	1,519	$107K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	19%	402	351	$42K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	810	717	$34K
45380	Colonoscopy, flexible; with biopsy, single or multiple	14%	122	105	$30K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.5%	71	55	$5K
99222	Initial hospital care, per day, moderate complexity	<1%	62	52	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	15	12	$495.57
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	934	748	$122.75
36415	Collection of venous blood by venipuncture	<1%	52	38	$11.10
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	475	393	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	273	214	$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 officialKARNAM, UMAPRASANNA (PHYSICIAN)