Physician
Central Valley Medical Center
Central Valley Medical Center was paid $1.04M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoCENTRAL VALLEY MEDICAL CENTER
NEPHI, UT 84648
NEPHI, UT 84648
33aNPI1992724975assigned 07/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.04M
24GClaims18,453
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Utah
Rank by total paid#12 of 426
Median peer was paid$12K
This provider vs. median83×
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 | 2,016 | $99K | |
| 2019 | 1,804 | $97K | |
| 2020 | 1,378 | $75K | |
| 2021 | 2,290 | $129K | |
| 2022 | 2,816 | $162K | |
| 2023 | 4,591 | $267K | |
| 2024incomplete | 3,558 | $209K |
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 | 68% | 11,584 | 10,230 | $702K |
| 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% | 2,464 | 2,260 | $199K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 555 | 489 | $43K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.2% | 621 | 590 | $33K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.3% | 150 | 141 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 148 | 143 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 128 | 124 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 732 | 700 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,090 | 881 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 360 | 347 | $5K |
| 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% | 15 | 15 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 26 | 26 | $1K |
14 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 40 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 103 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 30 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $619.96 |
| 90686 | <1% | 33 | $346.50 | |
| 90677 | <1% | 77 | $310.50 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $243.75 |
| 90688 | <1% | 13 | $35.45 | |
| 90723 | 0% | 55 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90648 | 0% | 38 | $0.00 | |
| 90670 | 0% | 57 | $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 officialDAVIS, BRENT (CFO)
| Provider | Location | Paid |
|---|---|---|
| Integris Bass Baptist Health Center | Enid, OK | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.