Downs, Warren

Downs, Warren was paid $102K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 63% of everything it billed.

33Billing provider infoDOWNS, WARREN
OGDEN, UT 84403

33aNPI1871505750assigned 08/12/2006

33bProvider typeEmergency Medicine Physician

28Total paid$102K

24GClaims1,832

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Utah

Rank by total paid#39 of 121

Median peer was paid$12K

This provider vs. median8.7×

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	672	$39K
2019	739	$39K
2020	421	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	63%	969	899	$64K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	29%	588	544	$30K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.2%	204	192	$7K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	71	69	$190.15

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.