UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1487018974
· SALT LAKE CITY, UT 84113
· 208000000X
$560K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
712 |
$59K |
| 2019 |
564 |
$49K |
| 2020 |
356 |
$31K |
| 2021 |
1,060 |
$102K |
| 2022 |
1,116 |
$93K |
| 2023 |
1,816 |
$112K |
| 2024 |
2,387 |
$114K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,875 |
2,784 |
$365K |
| 99490 |
Ccm add 20min |
1,711 |
1,686 |
$70K |
| 99309 |
|
874 |
560 |
$47K |
| 99417 |
Prolong home eval add 15m |
1,556 |
1,508 |
$33K |
| 99310 |
Prolong nursin fac eval 15m |
321 |
302 |
$33K |
| 99439 |
|
324 |
321 |
$10K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| G2211 |
Complex e/m visit add on |
338 |
328 |
$0.00 |