Wagner, Jessika

Wagner, Jessika was paid $10K by Medicaid between Jan 2018 and Nov 2020, across 4 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 85% of everything it billed.

33Billing provider infoWAGNER, JESSIKA
OGDEN, UT 84403

33aNPI1922259449assigned 10/02/2008

33bProvider typePediatrics Physician

28Total paid$10K

24GClaims316

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#172 of 299

Median peer was paid$16K

This provider vs. median0.6×

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	114	$6K
2019	77	$3K
2020	125	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	85%	158	158	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	30	28	$2K
90686		0%	116	116	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	12	12	$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.