Medicaid Provider Spending

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

UNIVERSITY OF UTAH SPECIALTY SERVICES

NPI: 1780088849 · SALT LAKE CITY, UT 84132 · Maternal & Fetal Medicine Physician · NPI assigned 10/20/2014

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

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

$1.35M
Total Medicaid Paid
28,381
Total Claims
20,307
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent OrganizationUNIVERSITY OF UTAH SPECIALTY SERVICES
NPI Enumeration Date10/20/2014

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 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 $954K
UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT $815K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,500 $106K
2019 1,939 $82K
2020 3,875 $237K
2021 3,985 $216K
2022 4,252 $199K
2023 4,342 $206K
2024 6,488 $305K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,941 2,355 $267K
59025 Fetal non-stress test 9,075 4,730 $170K
99215 Prolong outpt/office vis 1,228 1,005 $152K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,842 1,534 $139K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,323 1,278 $114K
99233 Prolong inpt eval add15 m 1,178 462 $84K
99490 Ccm add 20min 1,740 1,666 $62K
99232 Subsequent hospital care, per day, moderate complexity 1,101 405 $55K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,352 2,121 $52K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,270 1,239 $48K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,631 1,034 $42K
76801 780 727 $34K
99487 Ccm add 20min 339 326 $33K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 51 50 $25K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 15 15 $22K
99238 Hospital discharge day management, 30 minutes or less 402 370 $18K
99284 Emergency department visit for the evaluation and management, high severity 201 180 $13K
99223 Prolong inpt eval add15 m 43 42 $5K
99222 Initial hospital care, per day, moderate complexity 60 53 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 105 82 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 125 115 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 25 $2K
99205 Prolong outpt/office vis 12 12 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $1K
99417 Prolong home eval add 15m 14 13 $612.25
76820 123 84 $573.04
99439 139 130 $0.00
99489 Ccm add 20min 146 137 $0.00
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 106 104 $0.00