UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1487018040
· SALT LAKE CITY, UT 84113
· 207RH0003X
$926K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
346 |
$34K |
| 2019 |
592 |
$54K |
| 2020 |
275 |
$33K |
| 2021 |
1,359 |
$138K |
| 2022 |
1,474 |
$155K |
| 2023 |
3,197 |
$255K |
| 2024 |
4,257 |
$257K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
5,020 |
4,206 |
$528K |
| 99233 |
Prolong inpt eval add15 m |
2,837 |
537 |
$224K |
| 99223 |
Prolong inpt eval add15 m |
419 |
348 |
$51K |
| 99417 |
Prolong home eval add 15m |
1,403 |
1,225 |
$36K |
| 99418 |
Prolong nursin fac eval 15m |
554 |
187 |
$28K |
| 96450 |
|
265 |
208 |
$27K |
| 99239 |
|
283 |
228 |
$21K |
| 99205 |
Prolong outpt/office vis |
68 |
67 |
$8K |
| 99356 |
|
111 |
40 |
$3K |
| G2211 |
Complex e/m visit add on |
540 |
470 |
$67.73 |