Physician
University of Utah Pediatric Services
University of Utah Pediatric Services was paid $3.07M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoUNIVERSITY OF UTAH PEDIATRIC SERVICES
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
33aNPI1568826055assigned 04/11/2016
33bProvider typePediatrics Physician
28Total paid$3.07M
24GClaims91,396
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#3 of 299
Median peer was paid$16K
This provider vs. median190×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,976 | $378K | |
| 2019 | 11,644 | $347K | |
| 2020 | 11,888 | $343K | |
| 2021 | 12,624 | $420K | |
| 2022 | 9,008 | $330K | |
| 2023 | 16,433 | $577K | |
| 2024incomplete | 17,823 | $674K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 11,084 | 10,489 | $617K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 7,045 | 6,593 | $538K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 5,378 | 5,065 | $482K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 4,525 | 4,430 | $365K |
| 99490 | Ccm add 20min | 5.6% | 4,971 | 4,858 | $172K |
| 99460 | 5.4% | 1,994 | 1,934 | $166K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 1,796 | 1,765 | $126K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.3% | 2,547 | 2,462 | $101K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 849 | 780 | $81K |
| 99487 | Ccm add 20min | 2.4% | 851 | 842 | $75K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 12,309 | 11,823 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 762 | 748 | $49K |
65 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 398 | $23K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,635 | $23K |
| 90677 | <1% | 418 | $21K | |
| 99462 | <1% | 696 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,500 | $20K |
| 99383 | <1% | 280 | $17K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 128 | $12K |
| 99384 | <1% | 171 | $11K | |
| 99381 | <1% | 139 | $10K | |
| 99188 | <1% | 2,791 | $9K | |
| 0001A | <1% | 319 | $9K | |
| 99439 | <1% | 383 | $7K | |
| 99463 | <1% | 64 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,982 | $5K |
| 83655 | <1% | 580 | $5K | |
| 99489 | Ccm add 20min | <1% | 76 | $4K |
| 0002A | <1% | 100 | $4K | |
| 91307 | <1% | 82 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 41 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 83 | $2K |
| 99382 | <1% | 32 | $2K | |
| 0124A | <1% | 68 | $2K | |
| 90480 | <1% | 285 | $2K | |
| 80061 | Lipid panel | <1% | 605 | $2K |
| 90670 | <1% | 1,855 | $2K | |
| 0173A | <1% | 49 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 373 | $1K |
| 90651 | <1% | 466 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 473 | $1K |
| 0071A | <1% | 146 | $1K | |
| 90656 | <1% | 323 | $923.78 | |
| 85018 | <1% | 521 | $821.35 | |
| 0081A | <1% | 20 | $800.00 | |
| 90474 | <1% | 65 | $622.08 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 41 | $591.97 |
| 90686 | <1% | 4,777 | $578.75 | |
| 91320 | <1% | 76 | $457.72 | |
| 91318 | <1% | 55 | $326.99 | |
| 90710 | <1% | 45 | $270.15 | |
| 90723 | <1% | 1,273 | $270.12 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 152 | $255.31 |
| 90707 | <1% | 78 | $247.47 | |
| 96381 | <1% | 28 | $225.68 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 13 | $206.73 |
| 90633 | <1% | 458 | $176.90 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 14 | $151.64 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 14 | $151.64 |
| 91319 | <1% | 55 | $130.53 | |
| 90680 | <1% | 866 | $93.18 | |
| 90648 | <1% | 2,190 | $70.25 | |
| 90696 | <1% | 43 | $61.08 | |
| 36416 | <1% | 445 | $27.73 | |
| 90700 | <1% | 75 | $27.03 | |
| 82728 | <1% | 12 | $26.59 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 76 | $0.00 |
| 91317 | 0% | 35 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 12 | $0.00 |
| 90716 | 0% | 16 | $0.00 | |
| 90685 | 0% | 78 | $0.00 | |
| 90734 | 0% | 101 | $0.00 | |
| 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% | 12 | $0.00 |
| 91312 | 0% | 52 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 90473 | 0% | 13 | $0.00 | |
| 91308 | 0% | 18 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.