UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1407210545
· SALT LAKE CITY, UT 84113
· 2080P0206X
$621K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
309 |
$33K |
| 2019 |
321 |
$35K |
| 2020 |
211 |
$23K |
| 2021 |
434 |
$52K |
| 2022 |
541 |
$67K |
| 2023 |
2,063 |
$195K |
| 2024 |
3,973 |
$216K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
3,243 |
3,117 |
$318K |
| 99204 |
|
1,260 |
1,240 |
$113K |
| 99205 |
Prolong outpt/office vis |
525 |
515 |
$59K |
| 44361 |
|
494 |
477 |
$47K |
| 99233 |
Prolong inpt eval add15 m |
456 |
152 |
$35K |
| 99214 |
|
490 |
485 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
72 |
67 |
$9K |
| 99417 |
Prolong home eval add 15m |
272 |
268 |
$5K |
| 43239 |
|
14 |
14 |
$2K |
| 99222 |
|
24 |
24 |
$2K |
| 99232 |
|
21 |
12 |
$1K |
| G2211 |
Complex e/m visit add on |
981 |
974 |
$242.12 |