STEVEN RICHARD NEWMAN, MD
NPI 1134157613, individual, Cedar City, UT, Family Medicine
- Billed more hands-on hours than a day holds in 1 month, peaking at 25.2 hours per day across 3 billing organizations.
- Medicaid dollars per patient on code 96372 ($468 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2022 | More hours than a day holds at a conservative unit price | 5.1 | 37.8 | 25.2 | 34.0 | 363 | 2 | 99204 99212 99213 99214 99308 99309 | $189K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | STEVEN RICHARD NEWMAN, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 30, 2006, last updated February 11, 2026 |
| Practice location | 1303 N MAIN ST, Cedar City, UT 84721-9746, 435-586-7676 |
| Mailing address | PO BOX 27128, Salt Lake City, UT 84127-0128 |
| Specialties | Family Medicine (207Q00000X, primary, license 284604-1205 UT) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $3.6M | 55% | $432 | $44 (top 5% from $110) | 100th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.1M | 17% | $435 | $60 (top 5% from $133) | 100th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $577K | 9% | $408 | $44 (top 5% from $70) | 100th percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $326K | 5% | $263 | $12 (top 5% from $49) | 100th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $180K | 3% | $468 | $28 (top 5% from $147) | 99th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $136K | 2% | $430 | $67 (top 5% from $121) | 100th percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $127K | 2% | $572 | $16 (top 5% from $128) | 99th percentile | |
| 90471 | Administration of vaccine | $95K | 1% | $137 | $10 (top 5% from $23) | 100th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 297 | 297 | $36K | $154 | $123 | 1.3x | 2.3x (90th percentile 4.1x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 452 | 324 | $33K | $169 | $121 | 1.4x | 2.3x (90th percentile 3.8x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 403 | 84 | $30K | $150 | $102 | 1.5x | 2.0x (90th percentile 3.3x) |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 57 | 53 | $6K | $150 | $127 | 1.2x | 2.0x (90th percentile 3.3x) |
| 99497 | Advance care planning, first 30 minutes | 67 | 67 | $5K | $125 | $78 | 1.6x | 2.3x (90th percentile 4.9x) |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | 17 | $5K | $329 | $291 | 1.1x | 1.1x (90th percentile 2.6x) |
| 90662 | Influenza vaccine split virus, preservative free | 56 | 56 | $4K | $76 | $75 | 1.0x | 1.1x (90th percentile 2.1x) |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 24 | 24 | $4K | $180 | $157 | 1.1x | 2.1x (90th percentile 3.2x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Iron County, UT carry an indicator in the public record, with $29K at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT Cedar City, UT, ranked 1467 | $29K |
|
| 3 | HOME HEALTH SPECIALISTS LLC Cedar City, UT, ranked 2954 | $0 |
|
Recent enforcement in UT
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.