Medicaid Provider Spending

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

SOUTH SUMMIT PEDIATRICS. LLC

NPI: 1760490122 · DRAPER, UT 84020 · 173000000X

$392K
Total Medicaid Paid
11,111
Total Claims
10,196
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 368 $20K
2019 357 $19K
2020 475 $23K
2021 1,985 $97K
2022 1,641 $94K
2023 2,823 $63K
2024 3,462 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 2,474 2,215 $192K
99213 2,101 1,851 $124K
99391 659 557 $35K
99392 431 421 $16K
99393 197 193 $8K
90686 542 531 $4K
90460 543 523 $3K
90461 280 273 $2K
96127 790 697 $2K
90472 137 132 $1K
99000 379 318 $1K
87426 146 134 $846.87
90672 146 143 $789.58
90471 635 623 $755.79
87651 83 79 $679.11
90473 150 146 $352.23
90480 16 16 $280.00
0002A 13 13 $200.00
99394 56 51 $170.84
90656 53 53 $89.50
36416 68 57 $41.47
90660 12 12 $28.91
99174 36 36 $6.55
90648 266 257 $0.02
90723 137 132 $0.01
90671 228 218 $0.01
90680 93 91 $0.00
99173 416 400 $0.00
90707 12 12 $0.00
90670 12 12 $0.00