UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1386008852
· SALT LAKE CITY, UT 84113
· 2084P0804X
$1.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total 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 |
|
267 |
146 |
$49K |
| 99204 |
|
457 |
450 |
$45K |
| 99214 |
|
558 |
548 |
$38K |
| 99417 |
Prolong home eval add 15m |
714 |
710 |
$16K |
| 99222 |
|
132 |
124 |
$12K |
| 99232 |
|
109 |
71 |
$5K |
| 95819 |
|
12 |
12 |
$597.35 |
| G2211 |
Complex e/m visit add on |
897 |
887 |
$123.35 |