Silverton Group LLC

Silverton Group LLC was paid $1.55M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 43% of everything it billed.

33Billing provider infoSILVERTON GROUP LLC
MURRAY, UT 84107

33aNPI1629303169assigned 10/15/2009

33bProvider typeHospitalist Physician

28Total paid$1.55M

24GClaims49,205

24DCodes billed20

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Hospitalist Physician providers in Utah

Rank by total paid#4 of 26

Median peer was paid$42K

This provider vs. median37×

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	5,848	$187K
2019	8,718	$249K
2020	8,477	$259K
2021	11,721	$318K
2022	7,409	$230K
2023	4,159	$165K
2024incomplete	2,873	$142K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99310	Prolong nursin fac eval 15m	43%	16,600	4,760	$667K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	24%	9,515	1,526	$367K
99309	Subsequent nursing facility care, per day, low to moderate complexity	18%	12,821	5,438	$284K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.4%	5,749	731	$146K
99308	Subsequent nursing facility care, per day, straightforward	1.9%	2,083	1,098	$29K
99306	Prolong nursin fac eval 15m	<1%	431	315	$15K
99350	Prolong home eval add 15m	<1%	250	217	$11K
99490	Ccm add 20min	<1%	580	455	$9K
99349		<1%	278	247	$7K
99223	Prolong inpt eval add15 m	<1%	80	66	$5K
99337		<1%	167	86	$4K
99336		<1%	138	82	$2K

8 more codes

99497		<1%	98	$1K
99072		<1%	144	$1K
G3002	Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)	<1%	14	$452.56
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	100	$76.38
99406		<1%	66	$46.06
99335		<1%	52	$17.33
99326		0%	18	$0.00
99439		0%	21	$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 officialMARTINEZ, MARK (MANAGING PARTNER)