Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › WEST JORDAN › WASATCH PEDIATRICS, INC

WASATCH PEDIATRICS, INC

NPI: 1124102595 · WEST JORDAN, UT 84088 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/24/2006

$5.81M
Total Medicaid Paid
193,730
Total Claims
183,745
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICE, ALYSHIA (PROVIDER RELATIONS)
NPI Enumeration Date10/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,121 $426K
2019 9,706 $390K
2020 9,166 $303K
2021 22,913 $985K
2022 25,432 $1.17M
2023 56,112 $1.16M
2024 60,280 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,472 30,890 $2.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,908 16,753 $1.52M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,506 8,635 $653K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,548 7,376 $397K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,653 4,573 $244K
99215 Prolong outpt/office vis 1,341 1,259 $121K
90472 Immunization administration, each additional vaccine (list separately) 14,969 14,529 $108K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,502 2,434 $99K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21,216 20,703 $73K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,402 2,257 $63K
99460 719 694 $48K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,513 1,461 $38K
99238 Hospital discharge day management, 30 minutes or less 625 608 $35K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 645 594 $32K
99381 442 428 $29K
90473 3,942 3,792 $28K
90686 4,549 4,465 $17K
99051 2,522 2,388 $15K
96127 3,993 3,648 $14K
99383 282 273 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,582 1,501 $11K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 102 95 $9K
92551 5,012 4,907 $8K
99463 93 92 $8K
36416 3,977 3,380 $6K
99382 141 138 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 57 55 $5K
90674 3,747 3,647 $4K
83655 963 920 $4K
87086 Culture, bacterial; quantitative colony count, urine 570 530 $4K
80061 Lipid panel 863 833 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,271 1,236 $3K
90480 448 430 $3K
17110 49 44 $3K
99239 Hospital discharge day management, more than 30 minutes 37 37 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 85 81 $3K
81003 919 856 $2K
87081 1,060 1,001 $2K
0071A 58 54 $2K
99495 13 13 $2K
90651 1,460 1,414 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
96161 2,071 1,964 $1K
0072A 41 40 $1K
0154A 39 38 $1K
85018 1,273 1,224 $1K
99462 35 29 $1K
90670 1,940 1,889 $1K
82248 261 135 $781.98
90680 3,619 3,471 $768.92
90619 1,088 1,052 $763.85
96380 100 97 $745.30
99177 4,980 4,863 $661.87
82247 262 135 $649.28
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $605.57
0173A 13 12 $480.00
82947 380 370 $450.09
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 36 $434.28
0124A 12 12 $404.80
91307 164 145 $360.18
90716 1,044 989 $348.69
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 160 146 $336.90
T1013 Sign language or oral interpretive services, per 15 minutes 14 14 $318.50
99384 13 13 $302.67
99417 Prolong home eval add 15m 13 12 $282.92
90661 1,151 1,145 $246.47
J8540 Dexamethasone, oral, 0.25 mg 104 100 $213.31
99188 30 29 $196.57
90620 327 319 $191.76
90715 736 708 $190.44
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) 192 177 $174.81
91320 32 32 $174.67
90633 2,336 2,250 $166.21
87184 29 28 $163.34
91322 70 66 $161.82
99050 13 12 $160.00
90744 113 109 $151.93
91321 242 230 $147.64
90698 1,430 1,387 $145.07
87420 12 12 $138.16
90685 56 56 $124.30
90707 1,027 978 $89.92
96381 13 12 $28.98
90672 172 163 $13.99
J7609 Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg 100 90 $6.00
90660 105 105 $0.35
91315 38 37 $0.34
90671 3,538 3,370 $0.21
91319 32 32 $0.16
91317 13 12 $0.12
91308 16 15 $0.11
91312 12 12 $0.10
90710 1,089 1,040 $0.07
90697 3,389 3,235 $0.07
90696 875 837 $0.05
90380 42 41 $0.00
90700 397 388 $0.00
90648 244 234 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 272 127 $0.00
91300 16 12 $0.00
90734 29 28 $0.00
90677 468 468 $0.00
90688 21 20 $0.00
90381 88 83 $0.00
99174 12 12 $0.00