Medicaid Provider Spending

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

UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI: 1386008852 · SALT LAKE CITY, UT 84113 · Child & Adolescent Psychiatry Physician · NPI assigned 04/11/2016

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

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

$1.17M
Total Medicaid Paid
12,747
Total Claims
11,738
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent OrganizationUNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI Enumeration Date04/11/2016

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 568 $63K
2019 720 $74K
2020 547 $63K
2021 1,199 $145K
2022 1,117 $133K
2023 3,543 $338K
2024 5,053 $355K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 6,609 6,486 $685K
99205 Prolong outpt/office vis 1,183 1,170 $158K
99233 Prolong inpt eval add15 m 1,243 610 $94K
99223 Prolong inpt eval add15 m 566 524 $67K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 267 146 $49K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 457 450 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 558 548 $38K
99417 Prolong home eval add 15m 714 710 $16K
99222 Initial hospital care, per day, moderate complexity 132 124 $12K
99232 Subsequent hospital care, per day, moderate complexity 109 71 $5K
95819 12 12 $597.35
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) 897 887 $123.35