Medicaid Provider Spending

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

PINE TOP MEDICAL P.C.

NPI: 1679956445 · PRICE, UT 84501 · Clinic/Center · NPI assigned 06/29/2015

$160K
Total Medicaid Paid
2,543
Total Claims
2,072
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLARSEN, EUGENE (PRESIDENT)
NPI Enumeration Date06/29/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 431 $21K
2019 245 $14K
2020 301 $24K
2021 382 $25K
2022 485 $30K
2023 317 $21K
2024 382 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,078 1,698 $143K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 313 250 $16K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 18 12 $541.29
90674 14 12 $190.25
36415 Collection of venous blood by venipuncture 29 26 $33.12
96127 18 15 $28.72
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 32 25 $0.00
G0444 Annual depression screening, 5 to 15 minutes 22 21 $0.00
83036 Hemoglobin; glycosylated (A1C) 19 13 $0.00