MOLINA HEALTHCARE OF UTAH INC
NPI: 1619486396
· MIDVALE, UT 84047
· 363LF0000X
$193K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,271 |
$0.00 |
| 2020 |
4,406 |
$0.00 |
| 2021 |
8,668 |
$1.47 |
| 2022 |
14,835 |
$18.29 |
| 2023 |
1,199 |
$17K |
| 2024 |
9,919 |
$176K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99345 |
Prolong home eval add 15m |
2,559 |
2,559 |
$137K |
| 99350 |
Prolong home eval add 15m |
636 |
634 |
$47K |
| 96127 |
|
4,678 |
4,667 |
$6K |
| 99392 |
|
13 |
13 |
$1K |
| 92558 |
|
41 |
41 |
$261.00 |
| 96161 |
|
285 |
285 |
$245.52 |
| 36416 |
|
124 |
123 |
$207.35 |
| 1159F |
|
7,131 |
7,123 |
$24.03 |
| G8427 |
Docrev cur meds by elig clin |
7,131 |
7,123 |
$12.62 |
| 1160F |
|
7,146 |
7,138 |
$12.59 |
| 1126F |
|
1,932 |
1,931 |
$7.51 |
| G8510 |
Scr dep neg, no plan reqd |
3,585 |
3,582 |
$7.03 |
| 3074F |
|
528 |
526 |
$2.99 |
| 3078F |
|
404 |
404 |
$2.74 |
| 1125F |
|
800 |
799 |
$2.68 |
| G8431 |
Pos clin depres scrn f/u doc |
473 |
472 |
$1.64 |
| 99501 |
|
284 |
284 |
$1.22 |
| 3079F |
|
175 |
174 |
$1.11 |
| 3016F |
|
1,996 |
1,994 |
$1.07 |
| 99384 |
|
268 |
268 |
$0.98 |
| 99383 |
|
247 |
247 |
$0.73 |
| 83037 |
|
124 |
123 |
$0.65 |
| 3077F |
|
87 |
87 |
$0.47 |
| G9226 |
3 comp foot exam completed |
90 |
89 |
$0.46 |
| 3075F |
|
85 |
85 |
$0.44 |
| 1111F |
|
129 |
129 |
$0.44 |
| 99173 |
|
38 |
38 |
$0.33 |
| 3044F |
|
62 |
62 |
$0.32 |
| 2023F |
|
63 |
63 |
$0.27 |
| 3080F |
|
51 |
51 |
$0.18 |
| 99382 |
|
64 |
64 |
$0.14 |
| 90791 |
|
18 |
18 |
$0.07 |
| 3051F |
|
13 |
13 |
$0.05 |
| 90792 |
|
38 |
38 |
$0.00 |