Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

University of Utah Pediatric Services

University of Utah Pediatric Services was paid $560K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.

33Billing provider infoUNIVERSITY OF UTAH PEDIATRIC SERVICES
SALT LAKE CITY, UT 84113
33aNPI1487018974assigned 04/11/2016
33bProvider typePediatrics Physician
28Total paid$560K
24GClaims8,011
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#15 of 299
Median peer was paid$16K
This provider vs. median35×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FINLAYSON, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018712$59K
2019564$49K
2020356$31K
20211,060$102K
20221,116$93K
20231,816$112K
2024incomplete2,387$114K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 65% 2,875 2,784 $365K
99490 Ccm add 20min 13% 1,711 1,686 $70K
99309 Subsequent nursing facility care, per day, low to moderate complexity 8.3% 874 560 $47K
99417 Prolong home eval add 15m 5.9% 1,556 1,508 $33K
99310 Prolong nursin fac eval 15m 5.9% 321 302 $33K
99439 1.8% 324 321 $10K
99205 Prolong outpt/office vis <1% 12 12 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 338 328 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent organizationUNIVERSITY OF UTAH PEDIATRIC SERVICES
Same official

Other billing entities under FINLAYSON, SAMUEL

Full network →
ProviderLocationPaid
University of Utah Community Physicians GroupSalt Lake City, UT$35.94M
University of Utah Pediatric Acuity CareSalt Lake City, UT$7.30M
University of Utah Adult ServicesSalt Lake City, UT$6.95M
University of Utah Adult ServicesSalt Lake City, UT$4.02M
University of Utah Adult ServicesSalt Lake City, UT$3.54M
University of Utah Adult ServicesSalt Lake City, UT$3.12M
University of Utah Adult ServicesSalt Lake City, UT$2.96M
University of Utah Pediatric ServicesSalt Lake City, UT$1.62M
University of Utah Pediatric Acuity CareSalt Lake City, UT$1.48M
Dermatology Division University of Utah Medical CenterSalt Lake City, UT$1.45M
University of Utah Specialty ServicesSalt Lake City, UT$1.35M
University of Utah Adult ServicesSalt Lake City, UT$1.25M
University of Utah Adult ServicesRock Springs, WY$1.20M
University of Utah Specialty ServicesSalt Lake City, UT$1.15M
University of Utah Adult ServicesSalt Lake City, UT$1.14M
University of Utah Adult ServicesSalt Lake City, UT$1.13M
University of Utah Adult ServicesSalt Lake City, UT$1.12M
University of Utah Acuity Care ServicesSalt Lake City, UT$1.05M
University of Utah Adult ServicesSalt Lake City, UT$1.02M
University of Utah Adult ServicesSalt Lake City, UT$954K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.