Medicaid Provider Spending

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

UNIVERSITY OF UTAH ADULT SERVICES

NPI: 1245634047 · SALT LAKE CITY, UT 84132 · Gastroenterology Physician · NPI assigned 10/22/2014

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

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

$1.12M
Total Medicaid Paid
14,442
Total Claims
13,632
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent OrganizationUNIVERSITY OF UTAH ADULT SERVICES
NPI Enumeration Date10/22/2014

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 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 30 $85.04
2019 108 $4K
2020 777 $43K
2021 1,277 $46K
2022 1,187 $51K
2023 5,349 $522K
2024 5,714 $458K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,514 1,463 $277K
45380 Colonoscopy, flexible; with biopsy, single or multiple 874 837 $151K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 574 567 $151K
99215 Prolong outpt/office vis 1,624 1,576 $140K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,220 2,179 $127K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 3,933 3,540 $54K
43235 323 306 $46K
99223 Prolong inpt eval add15 m 438 422 $42K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 204 198 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 419 414 $33K
99205 Prolong outpt/office vis 312 306 $31K
99233 Prolong inpt eval add15 m 352 197 $18K
99417 Prolong home eval add 15m 363 360 $9K
44361 30 30 $3K
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) 1,115 1,096 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 16 $855.56
99222 Initial hospital care, per day, moderate complexity 12 12 $707.02
91065 63 60 $404.72
99152 55 53 $172.87