Later, Douglas
Later, Douglas was paid $118K by Medicaid between Aug 2018 and Mar 2021, across 19 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 47% of everything it billed.
33Billing provider infoLATER, DOUGLAS
PROVO, UT 84604
PROVO, UT 84604
33aNPI1922494889assigned 04/07/2015
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$118K
24GClaims3,869
24DCodes billed19
24AFirst – last monthAug 2018 – Mar 2021
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Utah
Rank by total paid#11 of 66
Median peer was paid$9K
This provider vs. median13×
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 | 195 | $10K | |
| 2019 | 1,128 | $42K | |
| 2020 | 2,295 | $58K | |
| 2021 | 251 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 47% | 539 | 494 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 668 | 629 | $45K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 146 | 140 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 463 | 392 | $539.40 |
| 90698 | <1% | 260 | 254 | $447.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 502 | 493 | $442.11 |
| 90680 | <1% | 166 | 165 | $202.51 | |
| 90686 | <1% | 87 | 84 | $190.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 54 | 53 | $110.48 |
| 99051 | <1% | 14 | 14 | $102.46 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 346 | 340 | $87.12 |
| 90670 | 0% | 286 | 283 | $0.00 |
7 more codes
| 99177 | 0% | 82 | $0.00 | |
| 90461 | 0% | 48 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 12 | $0.00 |
| 90474 | 0% | 133 | $0.00 | |
| 90744 | 0% | 36 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 15 | $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.