ANDREA FRODSHAM, FNP-C
NPI 1437670114, individual, West Valley City, UT, Nurse Practitioner, Family
- Hours beyond a day in 5 months, but with up to 186 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99308 ($251 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2019 | More hours than a day holds at a conservative unit price | 6.6 | 65.9 | 43.9 | 59.2 | 170 | 1 | 99308 99309 | $78K |
| Aug 2019 | More hours than a day holds at a conservative unit price | 6.1 | 63.1 | 42.1 | 59.3 | 161 | 1 | 99308 99309 | $76K |
| Sep 2019 | More hours than a day holds at a conservative unit price | 4.5 | 38.7 | 25.8 | 36.8 | 148 | 1 | 99308 99309 | $45K |
| Feb 2020 | More hours than a day holds at a conservative unit price | 4.9 | 39.7 | 26.5 | 38.4 | 169 | 1 | 90792 99308 99309 | $46K |
| Aug 2020 | More hours than a day holds at a conservative unit price | 4.2 | 36.8 | 24.6 | 36.3 | 162 | 1 | 99308 99309 | $41K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANDREA FRODSHAM, FNP-C |
| Type | Individual |
| Status | Active |
| NPI issued | July 3, 2017, last updated September 25, 2025 |
| Practice location | 3737 W 4100 S, West Valley City, UT 84120-5543, 888-949-4864 |
| Specialties | Nurse Practitioner, Family (363LF0000X, license 7335019-8900 UT) Nurse Practitioner, Family (363LF0000X, primary, license 7335019-4405 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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $727K | 78% | $251 | $21 (top 5% from $84) | 100th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $80K | 9% | $202 | $14 (top 5% from $58) | 100th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $60K | 6% | $74 | $60 (top 5% from $133) | 65th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $41K | 4% | $48 | $44 (top 5% from $110) | 56th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $20K | 2% | $297 | $112 (top 5% from $313) | too few months to rank |
In this area
11 providers in Salt Lake County, UT carry an indicator in the public record, with $7.5M at stake between them. The most common is part of a provider network, on 8 of them, followed by more hours than a day holds on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HOME CAREGIVERS PARTNERSHIP, LLC Murray, UT, ranked 797 | $618K |
|
| 3 | HOME CAREGIVERS PARTNERSHIP LLC Murray, UT, ranked 1189 | $397K |
|
| 3 | BRISTOL HOSPICE - UTAH II, L.L.C. Murray, UT, ranked 1333 | $125K |
|
| 3 | BRIGHTENLIFE HOME HEALTH LLC Murray, UT, ranked 2852 | $0 |
|
| 3 | HOSPICE SPECIALISTS, LLC Murray, UT, ranked 3802 | $0 |
|
| 3 | ELEVATION HOSPICE OF UTAH, LLC Draper, UT, ranked 4458 | $0 |
|
| 3 | AVALON CARE CENTER - VA SALT LAKE II LLC Slc, UT, ranked 6127 | $0 |
|
| 3 | HOME HEALTH SPECIALISTS, LLC Murray, UT, ranked 7209 | $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.