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

Davis Hospital & Medical Center LP

Davis Hospital & Medical Center LP was paid $22.49M by Medicaid between Jan 2018 and Nov 2023, across 209 billing codes. Its largest line is 8888888, Internal/system code - not a standard HCPCS code — 71% of everything it billed.

33Billing provider infoDAVIS HOSPITAL & MEDICAL CENTER LP
LAYTON, UT 84041
33aNPI1548205818assigned 06/19/2006
28Total paid$22.49M
24GClaims417,491
24DCodes billed209
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other General Acute Care Hospital providers in Utah

Rank by total paid#3 of 26
Median peer was paid$6.14M
This provider vs. median3.7×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201880,508$3.78M
201977,129$3.58M
202073,985$4.35M
202196,343$5.56M
202284,739$5.02M
20234,787$195K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
8888888 Internal/system code - not a standard HCPCS code 71% 59,028 19,982 $15.87M
36415 Collection of venous blood by venipuncture 14% 27,979 21,621 $3.26M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.9% 14,305 12,777 $432K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.2% 1,613 1,465 $269K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 414 352 $198K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,018 3,404 $184K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity <1% 14,210 12,333 $171K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,487 2,321 $126K
70450 Computed tomography, head or brain; without contrast material <1% 2,601 2,331 $111K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 10,933 9,097 $100K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life <1% 10,672 9,044 $84K
71046 Radiologic examination, chest; 2 views <1% 2,468 2,277 $81K
197 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 802 $80K
71045 Radiologic examination, chest; single view <1% 5,013 $69K
87400 <1% 1,103 $66K
96361 Intravenous infusion, hydration; each additional hour <1% 5,960 $61K
81001 <1% 8,054 $60K
81003 <1% 5,088 $58K
82962 <1% 2,093 $54K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,019 $51K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,145 $50K
87070 <1% 1,065 $47K
73610 <1% 539 $44K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 684 $38K
73630 <1% 652 $37K
87081 <1% 1,166 $34K
73562 <1% 441 $33K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 479 $33K
80053 Comprehensive metabolic panel <1% 16,819 $32K
84703 <1% 4,633 $31K
73110 <1% 340 $30K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,981 $29K
73130 <1% 303 $25K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 3,994 $24K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,673 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 576 $21K
31720 <1% 765 $20K
89220 <1% 375 $20K
87088 <1% 2,117 $19K
87486 <1% 524 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 20,014 $19K
12001 <1% 281 $18K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,585 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,225 $15K
C1758 Catheter, ureteral <1% 621 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 6,824 $14K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,469 $14K
80050 General health panel <1% 2,642 $14K
87077 <1% 1,815 $13K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,746 $12K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,929 $12K
82947 <1% 320 $11K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 146 $11K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 433 $11K
73030 <1% 173 $10K
84443 Thyroid stimulating hormone (TSH) <1% 2,884 $10K
72100 <1% 139 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 360 $10K
J7050 Infusion, normal saline solution, 250 cc <1% 28 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,381 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 7,740 $9K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,377 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 720 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 98 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 608 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,956 $8K
99152 <1% 1,028 $8K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,503 $8K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,282 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,956 $8K
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,454 $7K
71275 Computed tomographic angiography, chest, with contrast material <1% 697 $7K
80081 <1% 184 $6K
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 142 $6K
72125 Computed tomography, cervical spine; without contrast material <1% 359 $6K
83690 <1% 5,992 $5K
86850 <1% 1,361 $5K
81025 <1% 1,326 $5K
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 194 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,522 $4K
59025 Fetal non-stress test <1% 994 $4K
86592 <1% 834 $4K
84484 <1% 5,120 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,196 $3K
12011 <1% 55 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 2,613 $3K
87480 <1% 63 $3K
87420 <1% 250 $3K
93971 <1% 125 $3K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 209 $3K
84702 <1% 1,275 $3K
C1769 Guide wire <1% 34 $3K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 233 $3K
85379 <1% 1,119 $2K
86900 <1% 1,528 $2K
76830 Ultrasound, transvaginal <1% 75 $2K
80329 <1% 860 $2K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 816 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 308 $2K
74018 <1% 43 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,578 $2K
J2060 Injection, lorazepam, 2 mg <1% 2,195 $2K
96376 <1% 1,519 $2K
80320 <1% 1,101 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 341 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,742 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,548 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,697 $1K
94760 <1% 1,355 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,528 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 206 $1K
85610 <1% 1,467 $1K
J3490 Unclassified drugs <1% 306 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 179 $1K
0064U <1% 73 $1K
80061 Lipid panel <1% 1,362 $1K
77067 Screening mammography, bilateral, including computer-aided detection <1% 15 $1K
97161 <1% 411 $1K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 725 $1K
86140 <1% 749 $1K
87807 <1% 98 $1K
82805 <1% 47 $1K
73080 <1% 13 $1K
A9270 Non-covered item or service <1% 7,582 $952.28
J0690 Injection, cefazolin sodium, 500 mg <1% 3,081 $897.72
82550 <1% 1,009 $859.94
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 684 $833.85
J2704 Injection, propofol, 10 mg <1% 4,658 $722.02
84439 <1% 1,200 $721.04
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 939 $692.77
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 49 $643.24
G0378 Hospital observation service, per hour <1% 909 $629.03
80055 <1% 34 $628.95
83880 <1% 1,912 $609.30
76801 <1% 59 $519.24
82803 <1% 16 $501.48
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,319 $485.18
90714 <1% 167 $474.57
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 283 $450.94
Q0244 Injection, casirivimab and imdevimab, 1200 mg <1% 33 $418.48
83605 <1% 1,330 $407.24
87205 <1% 1,039 $400.36
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 214 $388.39
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,856 $387.60
87581 <1% 214 $384.80
87186 <1% 2,028 $358.61
74022 <1% 16 $346.17
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 234 $343.21
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 52 $341.05
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 668 $314.79
99153 Mod sedat endo service >5yrs <1% 723 $310.48
85027 <1% 1,513 $235.63
G0237 Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) <1% 86 $206.19
86403 <1% 24 $173.24
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,544 $136.03
86762 <1% 281 $117.52
86593 <1% 22 $104.85
83036 Hemoglobin; glycosylated (A1C) <1% 1,407 $96.88
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 124 $91.17
87340 <1% 629 $89.06
85007 <1% 681 $77.50
87040 <1% 934 $67.01
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 113 $52.04
87653 <1% 104 $51.51
83735 <1% 546 $48.73
80179 <1% 454 $24.55
80143 <1% 471 $24.55
82077 <1% 542 $23.42
94664 <1% 77 $22.91
86901 <1% 1,542 $21.22
86780 <1% 281 $12.36
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 142 $10.90
29125 <1% 16 $10.90
85730 <1% 258 $10.50
J2550 Injection, promethazine hcl, up to 50 mg <1% 89 $6.63
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 115 $1.90
85651 <1% 110 $1.90
80159 0% 179 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 479 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 282 $0.00
88313 0% 276 $0.00
87260 0% 38 $0.00
87660 0% 63 $0.00
86703 0% 22 $0.00
A4649 Surgical supply; miscellaneous 0% 233 $0.00
83525 0% 16 $0.00
84466 0% 13 $0.00
86787 0% 64 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 104 $0.00
93976 0% 70 $0.00
83540 0% 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 29 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 0% 22 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 0% 13 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 624 $0.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 0% 473 $0.00
82728 0% 14 $0.00
99213 Doctor's office visit, returning patient (routine) 0% 57 $0.00
87158 0% 63 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 34 $0.00
82607 0% 29 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 60 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 14 $0.00
87510 0% 63 $0.00
82553 0% 14 $0.00
88304 0% 16 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 21 $0.00
86803 0% 17 $0.00
83001 0% 13 $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 officialJENSEN, MICHAEL (HOSPITAL CEO)
Same official

Other billing entities under JENSEN, MICHAEL

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