Packer, Alissa

Packer, Alissa was paid $101.64 by Medicaid between Apr 2018 and Apr 2018, across 1 billing code. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 100% of everything it billed.

33Billing provider infoPACKER, ALISSA
WEST JORDAN, UT 84088

33aNPI1669647566assigned 04/23/2008

33bProvider typePediatrics Physician

28Total paid$101.64

24GClaims16

24DCodes billed1

24AFirst – last monthApr 2018 – Apr 2018

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#297 of 299

Median peer was paid$16K

This provider vs. median0.0×

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	16	$101.64

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90472	Immunization administration, each additional vaccine (list separately)	100%	16	15	$101.64

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.