Western Medical Consultants

Western Medical Consultants was paid $252K by Medicaid between Jan 2018 and Mar 2023, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 85% of everything it billed.

33Billing provider infoWESTERN MEDICAL CONSULTANTS
DRAPER, UT 84020

33aNPI1790175073assigned 01/26/2015

33bProvider typeInternal Medicine Physician

28Total paid$252K

24GClaims18,155

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Internal Medicine Physician providers in Utah

Rank by total paid#11 of 102

Median peer was paid$6K

This provider vs. median44×

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	667	$1K
2019	1,704	$7K
2020	10,199	$142K
2021	3,946	$66K
2022	1,312	$28K
2023	327	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	85%	16,216	4,909	$214K
99306	Prolong nursin fac eval 15m	14%	630	512	$36K
99490	Ccm add 20min	<1%	240	212	$1K
99497		<1%	649	530	$168.95
99316		<1%	166	140	$79.41
99358	Prolong nursin fac eval 15m	<1%	209	166	$67.66
1123F		0%	26	13	$0.00
99318		0%	19	19	$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 officialMUIR, GARTH (SOLE MEMBER)