Utah Digestive Health Institute

Utah Digestive Health Institute was paid $15K by Medicaid between Jan 2018 and Jan 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoUTAH DIGESTIVE HEALTH INSTITUTE
OGDEN, UT 84405

33aNPI1972503696assigned 07/22/2005

33bProvider typeGastroenterology Physician

28Total paid$15K

24GClaims455

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Gastroenterology Physician providers in Utah

Rank by total paid#12 of 25

Median peer was paid$11K

This provider vs. median1.4×

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	205	$9K
2019	224	$6K
2020	26	$882.37

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	48%	182	171	$7K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	20%	46	39	$3K
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	19%	45	41	$3K
88305	Level IV - Surgical pathology, gross and microscopic examination	12%	29	27	$2K
88342		0%	12	12	$0.00
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	0%	141	109	$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 officialLOWE, JOHN (MANAGING PARTNER)

Same official

Other billing entities under LOWE, JOHN

Full network →

Provider	Location	Paid
John C Lowe JR PC	Frankton, IN	$59K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.