Dowse, Robert
Dowse, Robert was paid $868K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoDOWSE, ROBERT
CEDAR CITY, UT 84720
CEDAR CITY, UT 84720
33aNPI1982774642assigned 11/09/2006
33bProvider typeSpecialist
28Total paid$868K
24GClaims25,629
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Utah
Rank by total paid#3 of 39
Median peer was paid$25K
This provider vs. median35×
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 | 7,264 | $220K | |
| 2019 | 6,185 | $220K | |
| 2020 | 3,458 | $132K | |
| 2021 | 2,888 | $105K | |
| 2022 | 2,105 | $80K | |
| 2023 | 2,454 | $72K | |
| 2024incomplete | 1,275 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 3,575 | 3,213 | $313K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,928 | 2,685 | $182K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 1,734 | 1,594 | $159K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,165 | 1,137 | $107K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 608 | 591 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 315 | 306 | $27K |
| 36416 | 1.0% | 4,173 | 3,936 | $9K | |
| 85018 | <1% | 2,877 | 2,811 | $4K | |
| 92551 | <1% | 802 | 789 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 650 | 631 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 30 | 27 | $2K |
| 99173 | <1% | 754 | 720 | $2K |
24 more codes
| 90723 | <1% | 508 | $1K | |
| 90648 | <1% | 574 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 576 | $1K |
| 96161 | <1% | 865 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 137 | $1K |
| 90686 | <1% | 208 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 710 | $654.86 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 55 | $569.37 |
| 96127 | <1% | 298 | $522.74 | |
| 90670 | <1% | 575 | $423.24 | |
| 90710 | <1% | 97 | $278.49 | |
| 97802 | <1% | 13 | $275.49 | |
| 90633 | <1% | 39 | $263.04 | |
| 88738 | <1% | 143 | $250.57 | |
| 90461 | <1% | 539 | $204.94 | |
| 83655 | <1% | 68 | $173.50 | |
| 90715 | <1% | 12 | $69.05 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 308 | $48.00 |
| 90734 | <1% | 31 | $42.48 | |
| 81002 | <1% | 27 | $16.55 | |
| 99000 | 0% | 40 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $0.00 |
| 90681 | 0% | 152 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 30 | $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.