Medicaid Provider Spending

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

UNIVERSITY OF UTAH ADULT SERVICES

NPI: 1750785556 · SALT LAKE CITY, UT 84132 · Nephrology Physician · NPI assigned 10/22/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FINLAYSON, SAMUEL controls 20+ related entities in our dataset. Read more

$954K
Total Medicaid Paid
20,653
Total Claims
11,783
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent OrganizationUNIVERSITY OF UTAH ADULT SERVICES
NPI Enumeration Date10/22/2014

Related Entities

Other providers sharing the same authorized official: FINLAYSON, SAMUEL

ProviderCityStateTotal Paid
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP SALT LAKE CITY UT $35.94M
UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE SALT LAKE CITY UT $7.30M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $6.95M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $4.02M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $3.54M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $3.12M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $2.96M
UNIVERSITY OF UTAH PEDIATRIC SERVICES SALT LAKE CITY UT $1.62M
UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE SALT LAKE CITY UT $1.48M
DERMATOLOGY DIVISION UNIVERSITY OF UTAH MEDICAL CENTER SALT LAKE CITY UT $1.45M
UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT $1.35M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.25M
UNIVERSITY OF UTAH ADULT SERVICES ROCK SPRINGS WY $1.20M
UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT $1.15M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.14M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.13M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.12M
UNIVERSITY OF UTAH ACUITY CARE SERVICES SALT LAKE CITY UT $1.05M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $1.02M
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $815K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,591 $48K
2019 1,878 $82K
2020 1,842 $78K
2021 1,822 $79K
2022 1,628 $82K
2023 5,357 $285K
2024 6,535 $300K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 8,344 2,224 $408K
99215 Prolong outpt/office vis 3,257 2,735 $134K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,445 1,429 $115K
99223 Prolong inpt eval add15 m 873 811 $72K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,325 1,243 $56K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 916 450 $50K
90961 750 734 $36K
99232 Subsequent hospital care, per day, moderate complexity 945 375 $35K
90962 426 420 $18K
99205 Prolong outpt/office vis 128 126 $12K
90935 Hemodialysis procedure with single evaluation by a physician 421 196 $10K
99222 Initial hospital care, per day, moderate complexity 59 57 $3K
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) 813 775 $2K
90970 774 45 $1K
99417 Prolong home eval add 15m 64 62 $597.44
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 101 89 $569.47
90966 12 12 $52.10