UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1578017067
· SALT LAKE CITY, UT 84113
· 2080P0006X
$722K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
614 |
$127K |
| 2019 |
124 |
$11K |
| 2020 |
167 |
$27K |
| 2021 |
780 |
$66K |
| 2022 |
677 |
$70K |
| 2023 |
2,693 |
$230K |
| 2024 |
2,053 |
$191K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
1,124 |
1,057 |
$158K |
| 99215 |
Prolong outpt/office vis |
1,307 |
1,257 |
$153K |
| 96112 |
|
696 |
646 |
$92K |
| 92523 |
|
609 |
586 |
$91K |
| 96101 |
|
186 |
166 |
$89K |
| 99417 |
Prolong home eval add 15m |
1,386 |
1,260 |
$41K |
| 99490 |
Ccm add 20min |
679 |
661 |
$24K |
| 96130 |
|
41 |
37 |
$19K |
| 97165 |
|
215 |
211 |
$17K |
| 92521 |
|
162 |
158 |
$13K |
| 97166 |
|
83 |
83 |
$7K |
| 97530 |
|
267 |
258 |
$5K |
| 96131 |
|
61 |
51 |
$4K |
| 97162 |
|
46 |
45 |
$4K |
| 99439 |
|
88 |
88 |
$3K |
| 99214 |
|
27 |
25 |
$2K |
| 92587 |
|
32 |
31 |
$765.29 |
| 96111 |
|
16 |
14 |
$264.88 |
| 96103 |
|
38 |
31 |
$198.76 |
| 92567 |
|
32 |
32 |
$99.71 |
| 96136 |
|
13 |
12 |
$72.84 |