Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › IDAHO FALLS › UNIVERSITY OF UTAH PEDIATRIC SERVICES

UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI: 1669918769 · IDAHO FALLS, ID 83402 · Pediatrics Physician · NPI assigned 01/12/2017

$3K
Total Medicaid Paid
27
Total Claims
26
Beneficiaries
1
Codes Billed
2018-03
First Month
2023-08
Last Month

Provider Details

Authorized OfficialCLARK, EDWARD (DEPARTMENT CHAIR)
Parent OrganizationUNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI Enumeration Date01/12/2017

Related Entities

Other providers sharing the same authorized official: CLARK, EDWARD

ProviderCityStateTotal Paid
EDWARD C. CLARK,M.D.,P.A. WALDORF MD $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $1K
2023 13 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 27 26 $3K