UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1285098855
· SALT LAKE CITY, UT 84113
· 2080P0208X
$165K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$2K |
| 2019 |
144 |
$11K |
| 2020 |
67 |
$5K |
| 2021 |
94 |
$8K |
| 2022 |
141 |
$11K |
| 2023 |
479 |
$36K |
| 2024 |
1,101 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,539 |
561 |
$121K |
| 99223 |
Prolong inpt eval add15 m |
139 |
136 |
$17K |
| 99418 |
Prolong nursin fac eval 15m |
202 |
94 |
$13K |
| 99215 |
Prolong outpt/office vis |
139 |
123 |
$12K |
| 99255 |
|
13 |
13 |
$2K |
| G2211 |
Complex e/m visit add on |
18 |
18 |
$0.00 |