Ashley Valley Physician Practice, LLC
Ashley Valley Physician Practice, LLC was paid $442K by Medicaid between Jan 2018 and Feb 2023, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
VERNAL, UT 84078
Next to other Urology Physician providers in Utah
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,209 | $63K | |
| 2019 | 1,415 | $80K | |
| 2020 | 1,488 | $90K | |
| 2021 | 1,787 | $117K | |
| 2022 | 1,211 | $85K | |
| 2023 | 101 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 2,838 | 2,546 | $205K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 3,468 | 2,860 | $184K |
| 99223 | Prolong inpt eval add15 m | 3.6% | 87 | 71 | $16K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 127 | 115 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 177 | 166 | $12K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 67 | 57 | $9K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 93 | 80 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 124 | 54 | $739.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 14 | $501.03 |
| 99443 | <1% | 18 | 17 | $116.71 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | 12 | $37.73 |
| 36415 | Collection of venous blood by venipuncture | <1% | 172 | 151 | $23.52 |
1 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.