Enterprise Valley Medical Clinic, INC.

Enterprise Valley Medical Clinic, INC. was paid $97K by Medicaid between Jan 2018 and Aug 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoENTERPRISE VALLEY MEDICAL CLINIC, INC.
ENTERPRISE, UT 84725

33aNPI1659457786assigned 10/31/2006

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$97K

24GClaims2,019

24DCodes billed12

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Utah

Rank by total paid#4 of 9

Median peer was paid$42K

This provider vs. median2.3×

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	207	$10K
2019	157	$7K
2020	162	$6K
2021	761	$38K
2022	478	$20K
2023	174	$10K
2024incomplete	80	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	75%	1,355	1,229	$73K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	19%	181	150	$18K
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	2.4%	27	25	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	116	115	$1K
87428		1.0%	155	141	$978.22
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	15	15	$659.70
90686		<1%	27	27	$245.98
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	68	62	$101.72
90472	Immunization administration, each additional vaccine (list separately)	<1%	13	13	$62.16
36415	Collection of venous blood by venipuncture	<1%	12	12	$39.33
0001A		0%	12	12	$0.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	0%	38	36	$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 officialHANSEN, C.J. (EXECUTIVE DIRECTOR)