Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI: 1063876100 · SALT LAKE CITY, UT 84113 · Pediatric Otolaryngology Physician · NPI assigned 04/05/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FINLAYSON, SAMUEL controls 20+ related entities in our dataset. Read more

$845K
Total Medicaid Paid
11,650
Total Claims
11,023
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent OrganizationUNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI Enumeration Date04/05/2016

Related Entities

Other providers sharing the same authorized official: FINLAYSON, SAMUEL

ProviderCityStateTotal Paid
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP SALT LAKE CITY UT $35.94M
UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE SALT LAKE CITY UT $7.30M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $6.95M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $4.02M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $3.54M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $3.12M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $2.96M
UNIVERSITY OF UTAH PEDIATRIC SERVICES SALT LAKE CITY UT $1.62M
UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE SALT LAKE CITY UT $1.48M
DERMATOLOGY DIVISION UNIVERSITY OF UTAH MEDICAL CENTER SALT LAKE CITY UT $1.45M
UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT $1.35M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.25M
UNIVERSITY OF UTAH ADULT SERVICES ROCK SPRINGS WY $1.20M
UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT $1.15M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.14M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.13M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.12M
UNIVERSITY OF UTAH ACUITY CARE SERVICES SALT LAKE CITY UT $1.05M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.02M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $954K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 682 $41K
2019 517 $32K
2020 283 $18K
2021 1,130 $86K
2022 1,417 $111K
2023 3,296 $241K
2024 4,325 $316K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,938 1,909 $215K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,444 3,322 $184K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,951 1,920 $137K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,741 1,697 $131K
42820 Tonsillectomy and adenoidectomy; younger than age 12 514 508 $92K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 812 590 $40K
31575 296 290 $25K
99232 Subsequent hospital care, per day, moderate complexity 147 94 $8K
31231 42 42 $4K
69210 318 213 $3K
92504 166 161 $2K
31526 17 15 $1K
99222 Initial hospital care, per day, moderate complexity 12 12 $882.58
42830 12 12 $869.96
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $532.81
69990 225 223 $485.49