Physician
Pacific Medical Associates PC
Pacific Medical Associates PC was paid $19K by Medicaid between Jul 2018 and Nov 2023, across 12 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 53% of everything it billed.
33Billing provider infoPACIFIC MEDICAL ASSOCIATES PC
ST GEORGE, UT 84790
ST GEORGE, UT 84790
33aNPI1912307901assigned 08/27/2014
33bProvider typeInternal Medicine Physician
28Total paid$19K
24GClaims1,688
24DCodes billed12
24AFirst – last monthJul 2018 – Nov 2023
Compared with peers
Next to other Internal Medicine Physician providers in Utah
Rank by total paid#37 of 102
Median peer was paid$6K
This provider vs. median3.3×
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 | 198 | $3K | |
| 2019 | 305 | $6K | |
| 2020 | 494 | $5K | |
| 2021 | 344 | $2K | |
| 2022 | 301 | $3K | |
| 2023 | 46 | $67.95 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 53% | 426 | 330 | $10K |
| 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 | 42% | 209 | 172 | $8K |
| 99310 | Prolong nursin fac eval 15m | 4.4% | 51 | 43 | $834.82 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | 24 | $146.77 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 16 | 12 | $0.00 |
| 1111F | 0% | 47 | 38 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 739 | 571 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 93 | 69 | $0.00 |
| 3288F | 0% | 16 | 12 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 15 | 12 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 20 | 14 | $0.00 |
| 4040F | 0% | 21 | 13 | $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 officialCODIGA, MICHAEL (PRESIDENT)