Physician
Utah Navajo Health System, Incorporated
Utah Navajo Health System, Incorporated was paid $55.12M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoUTAH NAVAJO HEALTH SYSTEM, INCORPORATED
MONTEZUMA CREEK, UT 84534
MONTEZUMA CREEK, UT 84534
33aNPI1811991151assigned 06/01/2005
33bProvider typeFamily Medicine Physician
28Total paid$55.12M
24GClaims316,981
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Utah
Rank by total paid#1 of 426
Median peer was paid$12K
This provider vs. median4,417×
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 | 45,661 | $5.20M | |
| 2019 | 41,892 | $6.00M | |
| 2020 | 37,509 | $6.42M | |
| 2021 | 57,272 | $9.31M | |
| 2022 | 55,797 | $11.07M | |
| 2023 | 56,028 | $11.76M | |
| 2024incomplete | 22,822 | $5.37M |
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 | 35% | 48,574 | 41,120 | $19.06M |
| 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 | 8.4% | 12,810 | 11,665 | $4.64M |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 10,238 | 9,718 | $4.39M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.1% | 7,979 | 2,910 | $3.94M |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 4.5% | 12,005 | 3,880 | $2.47M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 7,036 | 6,110 | $2.23M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.1% | 3,624 | 2,297 | $1.68M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.9% | 3,445 | 3,394 | $1.61M |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.8% | 2,442 | 2,348 | $1.01M |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 4,505 | 2,898 | $959K |
| 91300 | 1.4% | 1,554 | 1,452 | $769K | |
| 90686 | 1.4% | 2,817 | 2,770 | $766K |
161 more codes
| D1351 | Sealant - per tooth | 1.4% | 8,607 | $752K |
| 99000 | 1.3% | 3,101 | $691K | |
| D0120 | Dental checkup, returning patient | 1.2% | 8,814 | $635K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 2,754 | $579K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 9,366 | $564K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,168 | $528K |
| 97161 | <1% | 825 | $480K | |
| D2140 | <1% | 2,680 | $476K | |
| D0274 | Bitewings - four radiographic images | <1% | 6,345 | $447K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 1,155 | $396K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,849 | $332K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 591 | $305K |
| 0004A | <1% | 794 | $305K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 485 | $240K |
| D1206 | Topical application of fluoride varnish | <1% | 10,120 | $230K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,523 | $230K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,011 | $216K |
| G0467 | Community health center visit, returning patient | <1% | 15,574 | $203K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 387 | $201K |
| D0272 | Bitewings - two radiographic images | <1% | 2,170 | $185K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 393 | $181K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,357 | $176K |
| D1110 | Prophylaxis - adult | <1% | 3,897 | $175K |
| D0330 | Panoramic radiographic image | <1% | 2,008 | $161K |
| 99442 | <1% | 482 | $153K | |
| D2331 | <1% | 841 | $146K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,521 | $145K |
| D2160 | <1% | 603 | $133K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 307 | $123K |
| 90688 | <1% | 318 | $123K | |
| 99283 | Emergency room visit (moderate) | <1% | 508 | $119K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 322 | $115K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,792 | $110K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14,677 | $99K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,730 | $98K |
| 99441 | <1% | 459 | $88K | |
| D1120 | Dental cleaning, child | <1% | 4,473 | $86K |
| D2330 | <1% | 441 | $62K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 934 | $60K |
| 99284 | Emergency room visit (serious) | <1% | 209 | $59K |
| 97014 | <1% | 14,509 | $56K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,870 | $49K |
| D0470 | <1% | 223 | $48K | |
| 0124A | <1% | 84 | $45K | |
| 99307 | <1% | 3,115 | $42K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 699 | $42K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 102 | $41K |
| 97032 | <1% | 2,060 | $39K | |
| 80053 | Comprehensive metabolic panel | <1% | 4,858 | $39K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 84 | $38K |
| 91322 | <1% | 110 | $38K | |
| D1352 | <1% | 785 | $37K | |
| 90656 | <1% | 126 | $35K | |
| V2020 | Frames, purchases | <1% | 3,859 | $34K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 137 | $34K |
| 91307 | <1% | 50 | $32K | |
| 91320 | <1% | 185 | $30K | |
| 80061 | Lipid panel | <1% | 2,223 | $26K |
| 92310 | <1% | 219 | $24K | |
| D1354 | <1% | 535 | $24K | |
| 90619 | <1% | 95 | $23K | |
| 90715 | <1% | 206 | $22K | |
| D0240 | <1% | 733 | $22K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,776 | $21K |
| 90651 | <1% | 84 | $19K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 51 | $18K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 44 | $16K |
| 82570 | <1% | 1,199 | $15K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 210 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 28 | $11K |
| 90750 | <1% | 167 | $10K | |
| 81025 | <1% | 615 | $10K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 369 | $10K |
| 90633 | <1% | 152 | $10K | |
| 81002 | <1% | 1,378 | $10K | |
| 0002A | <1% | 633 | $9K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 617 | $9K |
| 36416 | <1% | 285 | $9K | |
| 81000 | <1% | 528 | $9K | |
| 82043 | <1% | 1,014 | $8K | |
| 90734 | <1% | 35 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $8K |
| 95251 | <1% | 41 | $8K | |
| D0701 | <1% | 27 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,613 | $7K |
| D0702 | <1% | 27 | $7K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 849 | $7K |
| D0270 | <1% | 219 | $7K | |
| 0001A | <1% | 604 | $6K | |
| 81003 | <1% | 638 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,442 | $5K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 15 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 163 | $5K |
| 92250 | <1% | 669 | $5K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 710 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 205 | $5K |
| 73630 | <1% | 66 | $4K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 163 | $4K |
| D3120 | <1% | 14 | $4K | |
| 82607 | <1% | 297 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 506 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,775 | $4K |
| 80305 | <1% | 382 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 28 | $4K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 168 | $3K |
| 90662 | <1% | 137 | $3K | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 20 | $3K |
| D4910 | <1% | 104 | $2K | |
| 84439 | <1% | 124 | $2K | |
| 90685 | <1% | 13 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 303 | $2K |
| D4346 | <1% | 14 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 163 | $1K |
| 98960 | <1% | 343 | $1K | |
| 85651 | <1% | 32 | $1K | |
| 87807 | <1% | 142 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 52 | $1K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 63 | $1K |
| 90636 | <1% | 67 | $1K | |
| 80074 | <1% | 234 | $1K | |
| 87400 | <1% | 277 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 133 | $1K |
| 86803 | <1% | 371 | $766.00 | |
| 90677 | <1% | 27 | $654.00 | |
| 86140 | <1% | 63 | $479.00 | |
| D1330 | <1% | 76 | $427.00 | |
| 20610 | <1% | 20 | $234.12 | |
| 83735 | <1% | 51 | $170.30 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 37 | $141.35 |
| 73562 | <1% | 54 | $125.13 | |
| 90480 | <1% | 350 | $80.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 163 | $37.00 |
| 96127 | <1% | 30 | $31.36 | |
| G0008 | Administration of influenza virus vaccine | <1% | 220 | $20.72 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,309 | $10.00 |
| 86592 | <1% | 19 | $6.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | $0.08 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 805 | $0.00 |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 0% | 837 | $0.00 |
| 83690 | 0% | 25 | $0.00 | |
| 97035 | 0% | 255 | $0.00 | |
| 80069 | 0% | 13 | $0.00 | |
| 87070 | 0% | 13 | $0.00 | |
| 82728 | 0% | 13 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 26 | $0.00 |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | 0% | 24 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 27 | $0.00 |
| 85018 | 0% | 12 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 26 | $0.00 |
| 87430 | 0% | 17 | $0.00 | |
| V2760 | Scratch resistant coating, per lens | 0% | 3,860 | $0.00 |
| 0073A | 0% | 17 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 70 | $0.00 |
| 2028F | 0% | 162 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 269 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 67 | $0.00 |
| 11721 | 0% | 15 | $0.00 | |
| 90707 | 0% | 38 | $0.00 | |
| D0340 | 0% | 31 | $0.00 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 0% | 16 | $0.00 |
| 0071A | 0% | 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.
From NPPES
Who's on the registration
Authorized officialEVANS, ANDREW (CFO)