Physician
Adams, Ross
Adams, Ross was paid $183K by Medicaid between Jan 2018 and Feb 2021, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoADAMS, ROSS
PROVO, UT 84604
PROVO, UT 84604
33aNPI1912965138assigned 05/04/2006
33bProvider typePediatrics Physician
28Total paid$183K
24GClaims5,605
24DCodes billed24
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#39 of 299
Median peer was paid$16K
This provider vs. median11×
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 | 1,441 | $50K | |
| 2019 | 1,240 | $43K | |
| 2020 | 2,591 | $79K | |
| 2021 | 333 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 1,131 | 1,078 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 31% | 572 | 530 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 255 | 254 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 1,121 | 1,114 | $6K |
| 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 | 1.8% | 31 | 31 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 43 | 41 | $3K |
| 99177 | <1% | 256 | 253 | $1K | |
| 90686 | <1% | 276 | 275 | $904.62 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 571 | 564 | $685.35 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 52 | 51 | $307.80 |
| 90473 | <1% | 24 | 24 | $262.78 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 351 | 306 | $175.81 |
12 more codes
| 90685 | <1% | 76 | $145.06 | |
| 90698 | <1% | 216 | $132.72 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 29 | $102.40 |
| 90672 | <1% | 25 | $60.92 | |
| 90670 | 0% | 263 | $0.00 | |
| 99051 | 0% | 29 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 17 | $0.00 |
| 90680 | 0% | 134 | $0.00 | |
| 90474 | 0% | 95 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 36416 | 0% | 13 | $0.00 | |
| 96161 | 0% | 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.