Physician
Utah Regional Hospitalists LLC
Utah Regional Hospitalists LLC was paid $7.06M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 30% of everything it billed.
33Billing provider infoUTAH REGIONAL HOSPITALISTS LLC
MURRAY, UT 84117
MURRAY, UT 84117
33aNPI1962821223assigned 04/15/2014
33bProvider typeHospitalist Physician
28Total paid$7.06M
24GClaims507,800
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Utah
Rank by total paid#2 of 26
Median peer was paid$42K
This provider vs. median170×
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 | 19,544 | $408K | |
| 2019 | 30,765 | $510K | |
| 2020 | 122,523 | $1.07M | |
| 2021 | 198,577 | $1.50M | |
| 2022 | 85,736 | $1.06M | |
| 2023 | 30,166 | $1.42M | |
| 2024incomplete | 20,489 | $1.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 30% | 46,754 | 15,201 | $2.14M |
| 99310 | Prolong nursin fac eval 15m | 27% | 65,088 | 25,364 | $1.90M |
| 99223 | Prolong inpt eval add15 m | 13% | 11,938 | 10,476 | $895K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.4% | 30,527 | 16,401 | $595K |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.2% | 9,258 | 8,074 | $434K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.2% | 10,121 | 3,799 | $368K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.2% | 1,483 | 767 | $225K |
| 99306 | Prolong nursin fac eval 15m | 2.2% | 5,086 | 3,835 | $152K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 2,225 | 2,120 | $147K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,583 | 2,384 | $52K |
| 99497 | <1% | 9,011 | 5,472 | $48K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,098 | 1,018 | $40K |
54 more codes
| 99220 | <1% | 517 | $17K | |
| 99221 | <1% | 233 | $11K | |
| 99316 | <1% | 1,272 | $8K | |
| 99490 | Ccm add 20min | <1% | 1,131 | $6K |
| 99305 | <1% | 178 | $6K | |
| 99418 | Prolong nursin fac eval 15m | <1% | 60 | $5K |
| 99307 | <1% | 320 | $5K | |
| 99217 | <1% | 291 | $2K | |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | <1% | 462 | $413.01 |
| 99304 | <1% | 22 | $380.92 | |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 129 | $380.42 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 279 | $51.59 |
| 99406 | <1% | 425 | $44.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 136 | $0.00 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 721 | $0.00 |
| 1123F | 0% | 24,582 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,066 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 344 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 18,694 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 14,130 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 20,702 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 3,241 | $0.00 |
| G8923 | Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function | 0% | 15 | $0.00 |
| 4086F | 0% | 3,998 | $0.00 | |
| 1101F | 0% | 13,059 | $0.00 | |
| G8967 | Fda approved oral anticoagulant is prescribed | 0% | 4,428 | $0.00 |
| G9707 | Patient received hospice services any time during the measurement period | 0% | 38 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 174 | $0.00 |
| 3044F | 0% | 1,731 | $0.00 | |
| G9512 | Individual had a pdc of 0.8 or greater | 0% | 35 | $0.00 |
| G2181 | Bmi not documented due to medical reason or patient refusal of height or weight measurement | 0% | 32 | $0.00 |
| 1100F | 0% | 8,050 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 47,132 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 37,587 | $0.00 |
| 4040F | 0% | 20,948 | $0.00 | |
| 1124F | 0% | 3,348 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,299 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 10,206 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 21,698 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 24,376 | $0.00 |
| 3046F | 0% | 3,134 | $0.00 | |
| 0518F | 0% | 6,764 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,523 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 172 | $0.00 |
| G9928 | Fda-approved anticoagulant not prescribed, reason not given | 0% | 575 | $0.00 |
| 3288F | 0% | 8,126 | $0.00 | |
| G9513 | Individual did not have a pdc of 0.8 or greater | 0% | 997 | $0.00 |
| G9996 | Documentation stating the patient has received or is currently receiving palliative or hospice care | 0% | 89 | $0.00 |
| G9990 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 974 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 19 | $0.00 |
| G9718 | Hospice services for patient provided any time during the measurement period | 0% | 16 | $0.00 |
| G9692 | Hospice services received by patient any time during the measurement period | 0% | 35 | $0.00 |
| 3045F | 0% | 92 | $0.00 | |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 23 | $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 officialCHRASTAIN, JENNIFER (ENROLLMENT OFFICER)