UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1477917045
· SALT LAKE CITY, UT 84113
· 2081P0010X
$327K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
110 |
$14K |
| 2019 |
64 |
$6K |
| 2020 |
83 |
$9K |
| 2021 |
334 |
$41K |
| 2022 |
541 |
$67K |
| 2023 |
1,165 |
$96K |
| 2024 |
1,314 |
$95K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,846 |
1,801 |
$205K |
| 64642 |
|
582 |
569 |
$50K |
| 64643 |
|
497 |
487 |
$37K |
| 99214 |
|
338 |
329 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
90 |
25 |
$8K |
| 99417 |
Prolong home eval add 15m |
106 |
102 |
$2K |
| 62370 |
|
51 |
48 |
$2K |
| G2211 |
Complex e/m visit add on |
101 |
101 |
$0.00 |