UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1841654407
· SALT LAKE CITY, UT 84113
· 207XS0117X
$831K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,294 |
5,067 |
$331K |
| 99203 |
|
2,556 |
2,499 |
$193K |
| 72082 |
|
1,695 |
1,500 |
$39K |
| 99214 |
|
524 |
508 |
$39K |
| A4590 |
Special casting material |
2,541 |
2,320 |
$33K |
| 99204 |
|
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 |
|
39 |
38 |
$2K |
| 26720 |
|
16 |
16 |
$2K |
| 99202 |
|
36 |
26 |
$1K |
| 73552 |
|
59 |
40 |
$858.54 |
| 73000 |
|
30 |
30 |
$594.61 |
| 73562 |
|
16 |
13 |
$304.88 |
| G2211 |
Complex e/m visit add on |
213 |
211 |
$36.42 |