Davis, Carly

Davis, Carly was paid $5K by Medicaid between Jan 2018 and Jan 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoDAVIS, CARLY
RIVERTON, UT 84096

33aNPI1801121108assigned 10/05/2009

33bProvider typePediatrics Physician

28Total paid$5K

24GClaims383

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#212 of 299

Median peer was paid$16K

This provider vs. median0.3×

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	68	$1K
2019	124	$935.78
2020	172	$3K
2021	19	$43.56

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	68%	60	57	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	31%	215	215	$2K
90472	Immunization administration, each additional vaccine (list separately)	1.2%	29	29	$58.08
90686		<1%	79	79	$26.13

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.