MARK PETERSON, DO
Sports Medicine (Family Medicine) Physician · PARK CITY, UT
Individual Active NPI 1326374562
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 237 | 2,064 | $97,123 | $94,827 | $72,375 |
| 2023 | 118 | 780 | $76,079 | $32,863 | $22,791 |
| 2022 | 106 | 922 | $140,508 | $43,749 | $32,538 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 504 | $7 | $6 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 225 | $101 | $78 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 182 | $87 | $66 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 177 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 137 | $122 | $94 |
| 76942 | Ultrasonic guidance for needle placement | 128 | $28 | $22 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 88 | $122 | $95 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 49 | $159 | $109 |
| 20551 | Injection into tendon at attachment to bone or muscle | 41 | $44 | $35 |
| 20550 | Injection into tendon or ligament | 40 | $49 | $38 |
| 73564 | X-ray of knee, 4 or more views | 38 | $35 | $27 |
| 73030 | X-ray of shoulder, minimum of 2 views | 28 | $25 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ✓ | 8743560-1204 | UT |
| Family Medicine Physician | 207Q00000X | 5101018542 | MI | |
| Family Medicine Physician | 207Q00000X | E7679 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101018542 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Family Medicine) Physician providers in Utah
- NPI 1760742654
- NPI 1427022938
- NPI 1902092133
- NPI 1417480716
- NPI 1609957778
- NPI 1477817443
- NPI 1497281406
- NPI 1548729734
See all Sports Medicine (Family Medicine) Physician providers in Utah →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.