Medicaid Provider Spending

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

UTAH STATE DEVELOPMENTAL CENTER

NPI: 1689674301 · AMERICAN FORK, UT 84003 · Mental Illness Intermediate Care Facility · NPI assigned 07/22/2005

$63K
Total Medicaid Paid
5,512
Total Claims
4,183
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCLARKE, KAREN (SUPERINTENDENT)
NPI Enumeration Date07/22/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,119 $10K
2019 1,273 $8K
2020 588 $7K
2021 964 $9K
2022 239 $3K
2023 1,086 $17K
2024 243 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 2,928 1,996 $32K
99309 Subsequent nursing facility care, per day, low to moderate complexity 560 475 $8K
D1110 Prophylaxis - adult 144 143 $7K
99307 760 605 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 306 273 $5K
D1206 Topical application of fluoride varnish 183 182 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 119 113 $994.52
99310 Prolong nursin fac eval 15m 73 73 $983.22
90832 Psychotherapy, 30 minutes with patient 13 13 $223.36
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 21 20 $42.84
G0008 Administration of influenza virus vaccine 170 106 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 180 141 $0.00
90688 55 43 $0.00