University of Utah Specialty Services
University of Utah Specialty Services was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
SALT LAKE CITY, UT 84132
Next to other Maternal & Fetal Medicine Physician providers in Utah
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,488 | $305K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 2,941 | 2,355 | $267K |
| 59025 | Fetal non-stress test | 13% | 9,075 | 4,730 | $170K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 1,228 | 1,005 | $152K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,842 | 1,534 | $139K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 8.4% | 1,323 | 1,278 | $114K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.2% | 1,178 | 462 | $84K |
| 99490 | Ccm add 20min | 4.5% | 1,740 | 1,666 | $62K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.0% | 1,101 | 405 | $55K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.8% | 2,352 | 2,121 | $52K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.6% | 1,270 | 1,239 | $48K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.1% | 1,631 | 1,034 | $42K |
| 76801 | 2.5% | 780 | 727 | $34K |
17 more codes
| 99487 | Ccm add 20min | 2.4% | 339 | $33K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.8% | 51 | $25K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 1.6% | 15 | $22K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 402 | $18K |
| 99284 | Emergency room visit (serious) | <1% | 201 | $13K |
| 99223 | Prolong inpt eval add15 m | <1% | 43 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 60 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 105 | $4K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 125 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 99417 | Prolong home eval add 15m | <1% | 14 | $612.25 |
| 76820 | <1% | 123 | $573.04 | |
| 99439 | 0% | 139 | $0.00 | |
| 99489 | Ccm add 20min | 0% | 146 | $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)). | 0% | 106 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.