Medicaid Provider Spending

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

UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP

NPI: 1124422126 · SALT LAKE CITY, UT 84119 · General Practice Physician · NPI assigned 10/20/2014

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

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

$35.94M
Total Medicaid Paid
529,815
Total Claims
477,348
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
NPI Enumeration Date10/20/2014

Related Entities

Other providers sharing the same authorized official: FINLAYSON, SAMUEL

ProviderCityStateTotal Paid
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
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $815K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61,370 $3.72M
2019 55,675 $3.54M
2020 53,423 $3.86M
2021 73,757 $5.67M
2022 81,949 $6.16M
2023 87,458 $6.20M
2024 116,183 $6.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 302,700 261,999 $21.97M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83,388 77,757 $4.60M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21,156 20,513 $2.16M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24,929 24,073 $1.69M
99215 Prolong outpt/office vis 15,474 14,093 $1.53M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,651 12,500 $989K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,825 10,527 $769K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,189 7,118 $553K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,030 3,949 $336K
99205 Prolong outpt/office vis 942 926 $124K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,168 1,056 $111K
99381 1,454 1,384 $109K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,375 1,351 $104K
99383 1,040 1,019 $85K
99384 886 870 $80K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 943 925 $77K
99493 606 604 $59K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,475 1,276 $52K
99385 507 492 $43K
99382 472 466 $37K
86480 539 525 $31K
91320 295 263 $21K
99417 Prolong home eval add 15m 931 862 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 626 612 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 533 513 $20K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 531 514 $20K
99386 194 190 $19K
99492 171 168 $18K
99495 183 181 $18K
17110 270 251 $18K
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) 13,246 12,371 $16K
99496 99 98 $14K
10060 178 174 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,401 2,358 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 574 551 $10K
99421 576 545 $9K
86803 642 620 $9K
99494 162 149 $9K
86704 578 559 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 719 686 $8K
69210 462 452 $8K
90739 61 61 $8K
11721 1,058 821 $8K
90480 248 243 $7K
87340 549 531 $7K
80305 359 264 $6K
86708 414 399 $6K
86787 381 365 $6K
86706 580 561 $6K
90472 Immunization administration, each additional vaccine (list separately) 307 285 $6K
99490 Ccm add 20min 179 176 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 245 232 $5K
80053 Comprehensive metabolic panel 579 552 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 911 881 $5K
12001 86 80 $4K
90715 132 130 $4K
83036 Hemoglobin; glycosylated (A1C) 410 407 $4K
11720 606 444 $4K
80061 Lipid panel 231 225 $3K
31720 142 137 $3K
11750 34 24 $3K
99188 1,117 1,091 $3K
90713 80 80 $3K
20610 79 75 $2K
83655 188 183 $2K
86682 237 225 $2K
90686 207 203 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 360 322 $2K
81002 683 659 $2K
86592 474 463 $2K
84443 Thyroid stimulating hormone (TSH) 146 145 $2K
58300 28 26 $2K
87086 Culture, bacterial; quantitative colony count, urine 236 228 $2K
99238 Hospital discharge day management, 30 minutes or less 30 29 $2K
90656 114 114 $1K
81025 184 182 $1K
11981 13 13 $977.50
81001 334 326 $933.72
87207 86 85 $908.87
36415 Collection of venous blood by venipuncture 200 184 $889.06
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 138 136 $583.73
80048 Basic metabolic panel (calcium, ionized) 47 40 $386.32
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 24 24 $148.89
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 15 12 $145.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 68 68 $101.54
77080 14 13 $100.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 27 27 $38.75
11719 31 24 $25.83
99441 23 13 $1.55