Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northeastern Utah Medical Group

Northeastern Utah Medical Group was paid $4.59M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoNORTHEASTERN UTAH MEDICAL GROUP
ROOSEVELT, UT 84066
33aNPI1982664199assigned 03/23/2006
28Total paid$4.59M
24GClaims102,180
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Utah

Rank by total paid#1 of 102
Median peer was paid$6K
This provider vs. median796×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201817,282$824K
201919,250$835K
202023,006$1.01M
202112,928$413K
202210,417$520K
202312,966$629K
2024incomplete6,331$360K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62% 55,536 47,562 $2.87M
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 21% 13,506 11,583 $983K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.1% 1,855 1,543 $187K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.7% 2,318 2,033 $124K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.4% 1,008 932 $109K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 593 537 $40K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 822 250 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 957 852 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 292 278 $27K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 744 647 $23K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 276 268 $21K
99238 Hospital discharge day management, 30 minutes or less <1% 366 348 $20K
54 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,626 $16K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,255 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 203 $13K
59025 Fetal non-stress test <1% 553 $12K
99460 <1% 149 $11K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,353 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,098 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 73 $7K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 83 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,050 $5K
80306 <1% 698 $3K
64483 <1% 25 $3K
17110 <1% 31 $2K
99307 <1% 200 $2K
20610 <1% 46 $2K
11721 <1% 344 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 41 $2K
99215 Doctor's office visit, returning patient (complex) <1% 13 $2K
76942 <1% 26 $1K
20550 <1% 28 $1K
81002 <1% 2,093 $955.63
99308 Subsequent nursing facility care, per day, straightforward <1% 84 $866.33
99462 <1% 27 $864.74
11102 <1% 16 $858.84
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 55 $786.51
90686 <1% 1,453 $570.16
0002A <1% 26 $560.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 62 $484.41
17000 <1% 13 $455.06
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 91 $438.42
90715 <1% 47 $417.80
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 30 $223.99
0001A <1% 20 $200.00
90734 <1% 25 $166.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 71 $105.72
83036 Hemoglobin; glycosylated (A1C) <1% 12 $87.33
G8484 Influenza immunization was not administered, reason not given <1% 128 $77.56
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 250 $10.17
90633 0% 42 $0.00
90648 0% 1,080 $0.00
90670 0% 1,194 $0.00
87400 0% 79 $0.00
90473 0% 233 $0.00
90700 0% 28 $0.00
4040F 0% 32 $0.00
T1015 A visit at a community health center or clinic (one all-in rate) 0% 44 $0.00
90680 0% 533 $0.00
90723 0% 742 $0.00
2001F 0% 13 $0.00
4037F 0% 400 $0.00
88720 0% 27 $0.00
64484 0% 13 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 15 $0.00
2000F 0% 34 $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 officialHALES, BRENT (CFO)
Same official

Other billing entities under HALES, BRENT

Full network →
ProviderLocationPaid
Uintah Basin Medical CenterRoosevelt, UT$355K
County of DuchesneRoosevelt, UT$22K

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