Sandgren, Daniel

Sandgren, Daniel was paid $71K by Medicaid between Jan 2018 and Feb 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoSANDGREN, DANIEL
LOGAN, UT 84341

33aNPI1669714341assigned 03/20/2013

33bProvider typePediatrics Physician

28Total paid$71K

24GClaims1,369

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#73 of 299

Median peer was paid$16K

This provider vs. median4.4×

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	511	$29K
2019	461	$25K
2020	352	$15K
2021	45	$2K

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	62%	723	687	$44K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	37%	413	409	$26K
90686		<1%	166	166	$276.43
90472	Immunization administration, each additional vaccine (list separately)	<1%	54	54	$153.79
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	0%	13	13	$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.