Petersen, David

Petersen, David was paid $169K by Medicaid between Jan 2018 and Mar 2021, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.

33Billing provider infoPETERSEN, DAVID
SALT LAKE CITY, UT 84107

33aNPI1851482202assigned 09/28/2006

33bProvider typeOphthalmology Physician

28Total paid$169K

24GClaims3,411

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Ophthalmology Physician providers in Utah

Rank by total paid#9 of 62

Median peer was paid$7K

This provider vs. median25×

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	1,195	$65K
2019	1,221	$63K
2020	797	$33K
2021	198	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	36%	647	627	$61K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	32%	471	466	$54K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	22%	518	502	$37K
92015	Determination of refractive state	7.7%	1,315	1,287	$13K
92060		2.3%	446	424	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	14	14	$347.56

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.