Utah Surgical Associates, INC.
Utah Surgical Associates, INC. was paid $308K by Medicaid between May 2019 and Nov 2024, across 12 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 22% of everything it billed.
33Billing provider infoUTAH SURGICAL ASSOCIATES, INC.
PROVO, UT 84604
PROVO, UT 84604
33aNPI1851450720assigned 12/07/2006
33bProvider typeSpecialist
28Total paid$308K
24GClaims3,829
24DCodes billed12
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers
Next to other Specialist providers in Utah
Rank by total paid#7 of 39
Median peer was paid$25K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2019 | 316 | $25K | |
| 2020 | 41 | $2K | |
| 2021 | 34 | $976.13 | |
| 2022 | 14 | $905.55 | |
| 2023 | 1,635 | $122K | |
| 2024incomplete | 1,789 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 22% | 705 | 690 | $67K |
| 47563 | 22% | 309 | 219 | $67K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 743 | 722 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 735 | 681 | $35K |
| 99222 | Initial hospital care, per day, moderate complexity | 11% | 495 | 465 | $35K |
| 44970 | 6.1% | 84 | 63 | $19K | |
| 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 | 5.7% | 240 | 233 | $18K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.5% | 422 | 164 | $17K |
| 47562 | 1.0% | 17 | 12 | $3K | |
| 99221 | <1% | 48 | 46 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 16 | 14 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 13 | $323.81 |
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 officialSCHWIERMANN, GEOFF (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Seasons Medical, PLLC | Rexburg, ID | $1.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.