Physician
Utah Navajo Health System, Incorporated
Utah Navajo Health System, Incorporated was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoUTAH NAVAJO HEALTH SYSTEM, INCORPORATED
MONUMENT VALLEY, UT 84536
MONUMENT VALLEY, UT 84536
33aNPI1699803635assigned 03/01/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.79M
24GClaims8,989
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Utah
Rank by total paid#10 of 426
Median peer was paid$12K
This provider vs. median143×
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 | 679 | $9K | |
| 2019 | 647 | $8K | |
| 2020 | 305 | $5K | |
| 2021 | 180 | $3K | |
| 2022 | 279 | $4K | |
| 2023 | 751 | $69K | |
| 2024incomplete | 6,148 | $1.69M |
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 | 43% | 2,251 | 2,002 | $763K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 17% | 926 | 241 | $303K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 12% | 402 | 164 | $215K |
| 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 | 9.3% | 328 | 300 | $167K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.3% | 181 | 173 | $113K |
| 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 | 2.1% | 1,821 | 1,541 | $37K |
| 99000 | 1.8% | 250 | 241 | $32K | |
| 90656 | 1.2% | 80 | 80 | $22K | |
| 97161 | 1.2% | 34 | 33 | $21K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 355 | 344 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 22 | 22 | $16K |
| 36415 | Collection of venous blood by venipuncture | <1% | 232 | 217 | $14K |
20 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 19 | $13K |
| 97014 | <1% | 945 | $12K | |
| 91322 | <1% | 54 | $12K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 184 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 123 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 99 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 130 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 83 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $2K |
| 90686 | <1% | 23 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 42 | $781.62 |
| 80061 | Lipid panel | <1% | 37 | $747.00 |
| 81002 | <1% | 23 | $719.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 94 | $719.00 |
| 82570 | 0% | 16 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 59 | $0.00 |
| 90480 | 0% | 92 | $0.00 | |
| 87807 | 0% | 44 | $0.00 | |
| 82043 | 0% | 16 | $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 officialJENSEN, MICHAEL (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Davis Hospital & Medical Center LP | Layton, UT | $22.49M |
| Utah Navajo Health System, Incorporated | Montezuma Creek, UT | $15.67M |
| Utah Navajo Health System, Incorporated | Blanding, UT | $2.54M |
| US Homemed, LLC | Manasquan, NJ | $755K |
| Utah Navajo Health System, Incorpoarted | Blanding, UT | $151K |
| Utah Navajo Health System, Incorporated | Navajo Mountain, UT | $93K |
| Frontier Physical Therapy PC | Great Falls, MT | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.