Johnson, Carrie

Johnson, Carrie was paid $75K by Medicaid between Jan 2018 and Jan 2021, across 7 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 61% of everything it billed.

33Billing provider infoJOHNSON, CARRIE
SALT LAKE CITY, UT 84113

33aNPI1720379423assigned 04/28/2011

33bProvider typePediatrics Physician

28Total paid$75K

24GClaims1,692

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#69 of 299

Median peer was paid$16K

This provider vs. median4.6×

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	554	$27K
2019	575	$28K
2020	519	$19K
2021	44	$159.01

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	61%	613	605	$46K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	368	341	$22K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.6%	134	132	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.2%	51	51	$2K
90472	Immunization administration, each additional vaccine (list separately)	1.2%	226	212	$936.53
90686		<1%	287	283	$362.57
90670		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.