South Davis Community Hospital, INC.

South Davis Community Hospital, INC. was paid $340K by Medicaid between Mar 2018 and Feb 2020, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoSOUTH DAVIS COMMUNITY HOSPITAL, INC.
BOUNTIFUL, UT 84010

33aNPI1972643559assigned 02/06/2007

33bProvider typeAssisted Living Facility

28Total paid$340K

24GClaims195

24DCodes billed1

24AFirst – last monthMar 2018 – Feb 2020

Compared with peers

Next to other Assisted Living Facility providers in Utah

Rank by total paid#43 of 57

Median peer was paid$699K

This provider vs. median0.5×

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	74	$126K
2019	92	$179K
2020	29	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	100%	195	170	$340K

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 officialBLAND, DAVID (CFO)