NP / PA
Molina Healthcare of Utah INC
Molina Healthcare of Utah INC was paid $193K by Medicaid between Jun 2019 and Aug 2024, across 34 billing codes. Its largest line is 99345, Prolong home eval add 15m — 71% of everything it billed.
33Billing provider infoMOLINA HEALTHCARE OF UTAH INC
MIDVALE, UT 84047
MIDVALE, UT 84047
33aNPI1619486396assigned 09/25/2017
33bProvider typeFamily Nurse Practitioner
28Total paid$193K
24GClaims41,298
24DCodes billed34
24AFirst – last monthJun 2019 – Aug 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Utah
Rank by total paid#7 of 116
Median peer was paid$5K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2019 | 2,271 | $0.00 | |
| 2020 | 4,406 | $0.00 | |
| 2021 | 8,668 | $1.47 | |
| 2022 | 14,835 | $18.29 | |
| 2023 | 1,199 | $17K | |
| 2024incomplete | 9,919 | $176K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99345 | Prolong home eval add 15m | 71% | 2,559 | 2,559 | $137K |
| 99350 | Prolong home eval add 15m | 24% | 636 | 634 | $47K |
| 96127 | 3.3% | 4,678 | 4,667 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | 13 | $1K |
| 92558 | <1% | 41 | 41 | $261.00 | |
| 96161 | <1% | 285 | 285 | $245.52 | |
| 36416 | <1% | 124 | 123 | $207.35 | |
| 1159F | <1% | 7,131 | 7,123 | $24.03 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 7,131 | 7,123 | $12.62 |
| 1160F | <1% | 7,146 | 7,138 | $12.59 | |
| 1126F | <1% | 1,932 | 1,931 | $7.51 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,585 | 3,582 | $7.03 |
22 more codes
| 3074F | <1% | 528 | $2.99 | |
| 3078F | <1% | 404 | $2.74 | |
| 1125F | <1% | 800 | $2.68 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 473 | $1.64 |
| 99501 | <1% | 284 | $1.22 | |
| 3079F | <1% | 175 | $1.11 | |
| 3016F | <1% | 1,996 | $1.07 | |
| 99384 | <1% | 268 | $0.98 | |
| 99383 | <1% | 247 | $0.73 | |
| 83037 | <1% | 124 | $0.65 | |
| 3077F | <1% | 87 | $0.47 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | <1% | 90 | $0.46 |
| 3075F | <1% | 85 | $0.44 | |
| 1111F | <1% | 129 | $0.44 | |
| 99173 | <1% | 38 | $0.33 | |
| 3044F | <1% | 62 | $0.32 | |
| 2023F | <1% | 63 | $0.27 | |
| 3080F | <1% | 51 | $0.18 | |
| 99382 | <1% | 64 | $0.14 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 18 | $0.07 |
| 3051F | <1% | 13 | $0.05 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 38 | $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 officialTURLEY, GINA (VP, CLINIC INFORMATICS)
Parent organizationMOLINA HEALTHCARE
| Provider | Location | Paid |
|---|---|---|
| Molina Care Connections, LLC. | Long Beach, CA | $29.31M |
| Molina Healthcare of New York, INC. | North Syracuse, NY | $6.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.