Medicaid Provider Spending

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

TOOELE UROLOGY LLC

NPI: 1457599912 · SOUTH JORDAN, UT 84095 · Lithotripsy Clinic/Center · NPI assigned 01/21/2009

$4K
Total Medicaid Paid
409
Total Claims
275
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialHIBBERT, DAN (MANAGER)
Parent OrganizationUROLOGIC SURGERY ASSOCIATES
NPI Enumeration Date01/21/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 107 $0.00
2019 70 $3K
2020 81 $3.06
2021 109 $1K
2022 14 $0.00
2023 28 $45.89

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50 39 $4K
81003 323 211 $48.95
51798 36 25 $0.00