Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JUPITER MEDICAL II LLC

NPI: 1649790080 · WEST JORDAN, UT 84081 · Primary Care Clinic/Center · NPI assigned 06/27/2017

$2K
Total Medicaid Paid
99
Total Claims
82
Beneficiaries
6
Codes Billed
2021-12
First Month
2023-12
Last Month

Provider Details

Authorized OfficialKNEPPER, BRYAN (OWNER)
NPI Enumeration Date06/27/2017

Related Entities

Other providers sharing the same authorized official: KNEPPER, BRYAN

ProviderCityStateTotal Paid
STAT MD LLC PARK CITY UT $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 44 $2K
2023 55 $579.79

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 14 14 $2K
87804 26 12 $376.08
87880 15 13 $203.71
99000 14 13 $0.00
99051 13 13 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 17 17 $0.00