Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI: 1841654407 · SALT LAKE CITY, UT 84113 · Orthopaedic Surgery of the Spine Physician · NPI assigned 04/11/2016

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

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

$831K
Total Medicaid Paid
21,052
Total Claims
18,871
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent OrganizationUNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI Enumeration Date04/11/2016

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 $954K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,099 $40K
2019 754 $29K
2020 520 $18K
2021 2,902 $106K
2022 2,535 $104K
2023 6,720 $272K
2024 6,522 $263K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,294 5,067 $331K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,556 2,499 $193K
72082 1,695 1,500 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 524 508 $39K
A4590 Special casting material (e.g., fiberglass) 2,541 2,320 $33K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 339 335 $31K
73100 1,890 1,466 $24K
73070 1,487 1,157 $20K
25560 107 105 $19K
27750 68 65 $15K
77073 602 565 $12K
72170 990 869 $11K
73090 572 411 $9K
73610 471 400 $8K
73560 399 322 $6K
24530 29 27 $6K
20680 27 14 $6K
73130 368 314 $6K
73630 355 283 $6K
73590 299 241 $5K
25500 14 14 $3K
25600 16 15 $3K
99284 Emergency department visit for the evaluation and management, high severity 39 38 $2K
26720 16 16 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 36 26 $1K
73552 59 40 $858.54
73000 30 30 $594.61
73562 16 13 $304.88
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) 213 211 $36.42