Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI: 1104280684 · SALT LAKE CITY, UT 84113 · Pediatric Hematology & Oncology Physician · NPI assigned 04/11/2016

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

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

$85K
Total Medicaid Paid
898
Total Claims
443
Beneficiaries
4
Codes Billed
2019-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent OrganizationUNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI Enumeration Date04/11/2016

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
2019 24 $2K
2020 24 $2K
2021 247 $25K
2022 238 $24K
2023 70 $8K
2024 295 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 763 406 $76K
99233 Prolong inpt eval add15 m 89 12 $7K
99417 Prolong home eval add 15m 30 12 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 16 13 $4.79