NP / PA
Caldwell, Ruth
Caldwell, Ruth was paid $97K by Medicaid between Jan 2018 and Feb 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoCALDWELL, RUTH
PROVO, UT 84604
PROVO, UT 84604
33aNPI1801161328assigned 03/16/2012
33bProvider typeFamily Nurse Practitioner
28Total paid$97K
24GClaims2,369
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Family Nurse Practitioner providers in Utah
Rank by total paid#12 of 116
Median peer was paid$5K
This provider vs. median18×
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 | 904 | $37K | |
| 2019 | 875 | $34K | |
| 2020 | 544 | $22K | |
| 2021 | 46 | $4K |
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 | 86% | 988 | 956 | $83K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 67 | 67 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.2% | 454 | 448 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 12 | 12 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 12 | 12 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 197 | 197 | $663.31 |
| 90686 | <1% | 147 | 143 | $320.71 | |
| 99177 | <1% | 136 | 135 | $292.88 | |
| 90685 | <1% | 13 | 13 | $165.89 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 84 | 83 | $142.55 |
| 99051 | 0% | 91 | 89 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 76 | 76 | $0.00 |
1 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 92 | $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.