Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALPINE PEDIATRICS, PC

NPI: 1912939786 · PLEASANT GROVE, UT 84062 · Medical Physician Assistant · NPI assigned 07/06/2006

$2.38M
Total Medicaid Paid
81,928
Total Claims
78,648
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAUSSI, JASON (ADMINISTRATOR)
NPI Enumeration Date07/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,849 $110K
2019 2,891 $124K
2020 3,264 $82K
2021 13,049 $520K
2022 14,355 $578K
2023 22,702 $495K
2024 22,818 $469K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,117 15,852 $1.04M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,975 5,560 $462K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,282 4,803 $341K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,522 3,489 $185K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,066 2,045 $124K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,686 9,478 $46K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,095 1,081 $41K
99460 372 370 $25K
90472 Immunization administration, each additional vaccine (list separately) 7,158 6,988 $25K
99238 Hospital discharge day management, 30 minutes or less 417 413 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,021 990 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 92 90 $7K
90473 2,074 2,029 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 121 113 $6K
99383 89 88 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 133 126 $4K
99490 Ccm add 20min 111 109 $4K
99381 42 42 $3K
80061 Lipid panel 210 204 $2K
90686 3,462 3,390 $2K
96127 2,011 1,935 $2K
99382 51 51 $2K
0072A 45 45 $1K
0071A 57 51 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
85018 1,273 1,261 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 113 112 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $1K
99463 12 12 $970.80
36416 443 435 $933.71
81002 315 298 $873.25
90651 518 506 $608.80
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 171 164 $585.97
99462 17 15 $539.75
91307 120 112 $520.01
90656 287 286 $519.82
90671 747 732 $468.74
0001A 12 12 $400.00
90680 1,824 1,785 $355.04
90698 2,960 2,890 $326.91
99177 1,408 1,402 $321.13
90677 579 579 $298.07
90480 36 36 $229.90
99072 785 744 $183.09
90716 329 320 $174.33
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 13 $163.02
96161 1,152 1,127 $160.01
96110 Developmental screening, with scoring and documentation, per standardized instrument 335 334 $124.02
90715 247 242 $116.15
87428 25 25 $75.00
90672 114 112 $41.71
90744 1,260 1,234 $27.12
90660 34 34 $22.89
90381 55 55 $0.05
91321 14 14 $0.03
90633 1,015 998 $0.03
90380 25 25 $0.02
90670 1,783 1,724 $0.02
90707 319 311 $0.01
90710 336 332 $0.01
90696 335 331 $0.01
90619 399 393 $0.01
90685 69 65 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 45 45 $0.00
90620 168 167 $0.00