Clinic
Carbon Medical Service Association, Incorporated
Carbon Medical Service Association, Incorporated was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoCARBON MEDICAL SERVICE ASSOCIATION, INCORPORATED
HELPER, UT 84526
HELPER, UT 84526
33aNPI1679749196assigned 05/05/2008
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.65M
24GClaims31,084
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Utah
Rank by total paid#4 of 26
Median peer was paid$102K
This provider vs. median16×
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 | 4,268 | $177K | |
| 2019 | 6,101 | $272K | |
| 2020 | 6,288 | $263K | |
| 2021 | 4,339 | $270K | |
| 2022 | 3,962 | $265K | |
| 2023 | 4,393 | $262K | |
| 2024incomplete | 1,733 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 76% | 15,519 | 11,484 | $1.26M |
| 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 | 12% | 3,974 | 3,308 | $196K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 8,438 | 6,719 | $181K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 323 | 193 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | 14 | $534.36 |
| 81002 | <1% | 27 | 26 | $3.48 | |
| 91301 | 0% | 37 | 33 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 106 | 59 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 318 | 218 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | 12 | $0.00 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 40 | 34 | $0.00 |
| 98967 | 0% | 14 | 12 | $0.00 |
7 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 226 | $0.00 |
| 96160 | 0% | 1,414 | $0.00 | |
| 99408 | 0% | 167 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 319 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 78 | $0.00 |
| 99442 | 0% | 17 | $0.00 | |
| 98968 | 0% | 37 | $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 officialABEYTA, CAROLYN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Carbon Medical Service Association, Incorporated | Sunnyside, UT | $2.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.