Wise, Dustin

Wise, Dustin was paid $117K by Medicaid between Jan 2018 and Feb 2021, across 9 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 44% of everything it billed.

33Billing provider infoWISE, DUSTIN
PLEASANT GROVE, UT 84062

33aNPI1811945769assigned 05/04/2006

33bProvider typePediatrics Physician

28Total paid$117K

24GClaims2,307

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#51 of 299

Median peer was paid$16K

This provider vs. median7.2×

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	868	$47K
2019	716	$37K
2020	652	$29K
2021	71	$3K

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	44%	714	704	$52K
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	39%	661	628	$46K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	335	317	$16K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	41	40	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	41	36	$796.01
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	13	13	$732.68
90686		<1%	266	264	$504.71
90472	Immunization administration, each additional vaccine (list separately)	<1%	224	221	$143.73
90648		0%	12	12	$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.