Utah Cancer Specialists PC

Utah Cancer Specialists PC was paid $4.19M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 85025, Blood count; complete (CBC), automated, and automated differential WBC count — 84% of everything it billed.

33Billing provider infoUTAH CANCER SPECIALISTS PC
SALT LAKE CITY, UT 84106

33aNPI1619925369assigned 05/05/2006

33bProvider typeNurse Practitioner

28Total paid$4.19M

24GClaims29,171

24DCodes billed35

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Utah

Rank by total paid#1 of 48

Median peer was paid$6K

This provider vs. median684×

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

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	411	$76K
2019	692	$180K
2020	463	$264K
2021	3,294	$1.56M
2022	3,401	$1.54M
2023	10,785	$293K
2024incomplete	10,125	$275K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
85025	Blood count; complete (CBC), automated, and automated differential WBC count	84%	8,974	6,352	$3.53M
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	5.4%	4,427	3,397	$228K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	2.0%	1,431	882	$83K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.5%	774	623	$62K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	1,332	1,195	$52K
J0185	Injection, aprepitant, 1 mg	1.2%	413	244	$51K
80053	Comprehensive metabolic panel	1.1%	4,089	3,082	$47K
96367		<1%	1,167	675	$24K
99205	Prolong outpt/office vis	<1%	210	192	$23K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	537	364	$16K
96417		<1%	355	202	$12K
J1750	Injection, iron dextran, 50 mg	<1%	48	39	$10K

23 more codes

82728		<1%	608	$9K
96375	Therapeutic injection; each additional sequential IV push	<1%	604	$6K
83550		<1%	398	$4K
J2469	Injection, palonosetron hcl, 25 mcg	<1%	455	$4K
96415		<1%	142	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	731	$3K
82378		<1%	151	$3K
J1627	Injection, granisetron, extended-release, 0.1 mg	<1%	20	$3K
83540		<1%	398	$3K
80050	General health panel	<1%	28	$1K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,113	$1K
99223	Prolong inpt eval add15 m	<1%	14	$930.33
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	91	$904.40
83615		<1%	129	$749.39
82607		<1%	40	$573.25
82746		<1%	24	$330.40
J1453	Injection, fosaprepitant, 1 mg	<1%	18	$317.83
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)	<1%	69	$311.05
86304		<1%	14	$300.96
83735		<1%	23	$172.33
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	214	$149.95
81002		<1%	60	$114.32
J7030	Infusion, normal saline solution , 1000 cc	<1%	70	$80.23

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 officialCHANDRAMOULI, NITIN (PRESIDENT)