Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI: 1568826055 · SALT LAKE CITY, UT 84132 · Pediatrics Physician · NPI assigned 04/11/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FINLAYSON, SAMUEL controls 20+ related entities in our dataset. Read more

$3.07M
Total Medicaid Paid
91,396
Total Claims
85,950
Beneficiaries
77
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent OrganizationUNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI Enumeration Date04/11/2016

Related Entities

Other providers sharing the same authorized official: FINLAYSON, SAMUEL

ProviderCityStateTotal Paid
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP SALT LAKE CITY UT $35.94M
UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE SALT LAKE CITY UT $7.30M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $6.95M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $4.02M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $3.54M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $3.12M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $2.96M
UNIVERSITY OF UTAH PEDIATRIC SERVICES SALT LAKE CITY UT $1.62M
UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE SALT LAKE CITY UT $1.48M
DERMATOLOGY DIVISION UNIVERSITY OF UTAH MEDICAL CENTER SALT LAKE CITY UT $1.45M
UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT $1.35M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.25M
UNIVERSITY OF UTAH ADULT SERVICES ROCK SPRINGS WY $1.20M
UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT $1.15M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.14M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.13M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.12M
UNIVERSITY OF UTAH ACUITY CARE SERVICES SALT LAKE CITY UT $1.05M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.02M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $954K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 17,823 $674K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,084 10,489 $617K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,045 6,593 $538K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,378 5,065 $482K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,525 4,430 $365K
99490 Ccm add 20min 4,971 4,858 $172K
99460 1,994 1,934 $166K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,796 1,765 $126K
99238 Hospital discharge day management, 30 minutes or less 2,547 2,462 $101K
99215 Prolong outpt/office vis 849 780 $81K
99487 Ccm add 20min 851 842 $75K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,309 11,823 $61K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 762 748 $49K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 398 387 $23K
90472 Immunization administration, each additional vaccine (list separately) 6,635 6,118 $23K
90677 418 413 $21K
99462 696 432 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,500 4,074 $20K
99383 280 273 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 128 127 $12K
99384 171 165 $11K
99381 139 135 $10K
99188 2,791 2,713 $9K
0001A 319 224 $9K
99439 383 381 $7K
99463 64 63 $5K
36415 Collection of venous blood by venipuncture 1,982 1,786 $5K
83655 580 562 $5K
99489 Ccm add 20min 76 67 $4K
0002A 100 94 $4K
91307 82 76 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 41 41 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 83 78 $2K
99382 32 32 $2K
0124A 68 50 $2K
90480 285 273 $2K
80061 Lipid panel 605 589 $2K
90670 1,855 1,812 $2K
0173A 49 47 $1K
83036 Hemoglobin; glycosylated (A1C) 373 368 $1K
90651 466 463 $1K
80053 Comprehensive metabolic panel 473 465 $1K
0071A 146 90 $1K
90656 323 323 $923.78
85018 521 511 $821.35
0081A 20 20 $800.00
90474 65 65 $622.08
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 41 39 $591.97
90686 4,777 4,622 $578.75
91320 76 73 $457.72
91318 55 55 $326.99
90710 45 45 $270.15
90723 1,273 1,251 $270.12
85025 Blood count; complete (CBC), automated, and automated differential WBC count 152 146 $255.31
90707 78 76 $247.47
96381 28 28 $225.68
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13 13 $206.73
90633 458 454 $176.90
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 12 $151.64
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 12 $151.64
91319 55 48 $130.53
90680 866 858 $93.18
90648 2,190 2,145 $70.25
90696 43 43 $61.08
36416 445 426 $27.73
90700 75 74 $27.03
82728 12 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)). 76 76 $0.00
91317 35 35 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12 12 $0.00
90716 16 16 $0.00
90685 78 77 $0.00
90734 101 101 $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) 12 12 $0.00
91312 52 38 $0.00
90715 15 15 $0.00
90473 13 12 $0.00
91308 18 18 $0.00