Church, Jason

Church, Jason was paid $10K by Medicaid between Mar 2018 and Nov 2020, across 5 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 80% of everything it billed.

33Billing provider infoCHURCH, JASON
PLEASANT VIEW, UT 84404

33aNPI1992859607assigned 01/22/2007

33bProvider typePediatrics Physician

28Total paid$10K

24GClaims418

24DCodes billed5

24AFirst – last monthMar 2018 – Nov 2020

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#175 of 299

Median peer was paid$16K

This provider vs. median0.6×

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	145	$2K
2019	115	$4K
2020	158	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	80%	84	82	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	16%	215	215	$2K
90472	Immunization administration, each additional vaccine (list separately)	2.8%	76	76	$281.87
90686		<1%	29	29	$93.30
90685		0%	14	14	$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.