Holmes, Brendon

Holmes, Brendon was paid $46K 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 — 65% of everything it billed.

33Billing provider infoHOLMES, BRENDON
HURRICANE, UT 84737

33aNPI1780946905assigned 06/13/2012

33bProvider typePediatrics Physician

28Total paid$46K

24GClaims915

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#99 of 299

Median peer was paid$16K

This provider vs. median2.8×

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	187	$11K
2019	401	$24K
2020	314	$11K
2021	13	$48.78

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	65%	363	360	$30K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	104	100	$6K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	135	127	$6K
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	4.2%	27	27	$2K
90472	Immunization administration, each additional vaccine (list separately)	2.8%	207	206	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	50	50	$444.15
90686		0%	29	29	$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.