Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SALT LAKE CITY › SANTIBANEZ PAC UTAH

SANTIBANEZ PAC UTAH

NPI: 1881469484 · SALT LAKE CITY, UT 84115 · 363A00000X

$424K
Total Medicaid Paid
15,497
Total Claims
9,395
Beneficiaries
7
Codes Billed
2024-02
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 15,497 $424K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 9,889 5,150 $263K
99310 Prolong nursin fac eval 15m 2,289 1,552 $86K
99306 Prolong nursin fac eval 15m 834 690 $27K
99308 1,324 1,079 $23K
99497 925 714 $19K
99316 219 193 $5K
99315 17 17 $151.97