Dowse, Benjamin

Dowse, Benjamin was paid $212K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoDOWSE, BENJAMIN
CEDAR CITY, UT 84721

33aNPI1740555846assigned 03/21/2012

33bProvider typePediatrics Physician

28Total paid$212K

24GClaims5,625

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#31 of 299

Median peer was paid$16K

This provider vs. median13×

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	747	$37K
2019	364	$20K
2020	790	$34K
2021	1,261	$43K
2022	537	$19K
2023	990	$26K
2024incomplete	936	$32K

Box 24 · Service lines

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	52%	1,096	1,028	$110K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	1,002	914	$65K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.5%	157	157	$14K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.4%	238	222	$13K
36416		1.4%	1,415	1,385	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	42	42	$3K
92551		<1%	256	256	$2K
85018		<1%	1,000	995	$2K
99173		<1%	205	205	$141.12
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	14	14	$62.91
96161		<1%	61	55	$36.69
96127		<1%	17	17	$23.80

5 more codes

90648		<1%	13	$15.47
90460	Immunization administration through 18 years of age via any route, first or only component	0%	61	$0.00
90461		0%	17	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	13	$0.00
88738		0%	18	$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.