UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1194189662
· SALT LAKE CITY, UT 84113
· 2080P0214X
$511K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
312 |
$30K |
| 2019 |
371 |
$37K |
| 2020 |
218 |
$23K |
| 2021 |
322 |
$33K |
| 2022 |
976 |
$92K |
| 2023 |
1,938 |
$143K |
| 2024 |
2,885 |
$153K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,366 |
2,309 |
$235K |
| 99233 |
Prolong inpt eval add15 m |
1,142 |
576 |
$85K |
| 99214 |
|
957 |
945 |
$64K |
| 99204 |
|
445 |
439 |
$44K |
| 95810 |
|
430 |
427 |
$35K |
| 95782 |
|
352 |
346 |
$30K |
| 99205 |
Prolong outpt/office vis |
90 |
86 |
$11K |
| 99417 |
Prolong home eval add 15m |
131 |
125 |
$3K |
| 94010 |
|
388 |
342 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 94060 |
|
198 |
196 |
$1K |
| G2211 |
Complex e/m visit add on |
510 |
510 |
$35.46 |