Medicaid Provider Spending

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

SOUTHWEST CHILDREN'S CLINIC

NPI: 1144345737 · WEST JORDAN, UT 84088 · Specialist · NPI assigned 03/20/2007

$703K
Total Medicaid Paid
30,873
Total Claims
28,846
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHILLIPS, JILL (OFFICE MANAGER)
NPI Enumeration Date03/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 470 $25K
2019 630 $22K
2020 732 $23K
2021 4,249 $113K
2022 5,578 $178K
2023 8,841 $160K
2024 10,373 $183K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,389 4,883 $346K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,018 1,875 $174K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,040 1,014 $42K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 985 914 $36K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 217 195 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 351 322 $11K
99215 Prolong outpt/office vis 84 81 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 522 507 $9K
87428 218 209 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,950 3,754 $7K
90472 Immunization administration, each additional vaccine (list separately) 1,965 1,738 $6K
96127 4,813 4,579 $5K
90686 493 472 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 246 236 $4K
99188 540 523 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 215 203 $3K
99460 40 39 $3K
90480 141 138 $2K
90474 483 437 $2K
99238 Hospital discharge day management, 30 minutes or less 27 26 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 530 473 $1K
90674 581 565 $1K
83655 207 203 $949.59
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 44 44 $720.09
85018 624 603 $621.05
91307 16 16 $600.00
91308 23 13 $458.88
36416 255 244 $375.94
87400 38 19 $311.22
90671 471 432 $253.83
92587 61 60 $235.18
99072 471 432 $159.57
96161 468 429 $104.24
90680 486 440 $96.04
90697 559 507 $48.00
81003 16 15 $37.84
80061 Lipid panel 42 39 $37.71
96380 16 15 $33.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $20.90
90633 300 293 $14.10
96160 94 91 $4.47
99173 871 835 $2.41
90661 206 202 $0.02
90710 27 26 $0.01
90696 14 14 $0.01
90698 36 36 $0.01
90670 91 88 $0.00
99177 114 112 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 80 80 $0.00
90677 213 197 $0.00
91319 14 14 $0.00
91318 13 13 $0.00
90651 63 62 $0.00
97802 26 26 $0.00
90381 12 12 $0.00
90619 15 15 $0.00
87807 26 24 $0.00