Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

University of Utah Pediatric Services

University of Utah Pediatric Services was paid $2.21M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 28% of everything it billed.

33Billing provider infoUNIVERSITY OF UTAH PEDIATRIC SERVICES
SALT LAKE CITY, UT 84113
33aNPI1942664412assigned 04/11/2016
28Total paid$2.21M
24GClaims68,249
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Cardiology Physician providers in Utah

Rank by total paid#1 of 9
Median peer was paid$8K
This provider vs. median278×

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.

Entity ProliferationAuthorized official FINLAYSON, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20185,874$101K
20194,768$92K
20205,377$101K
20218,752$221K
202210,710$299K
202315,698$630K
2024incomplete17,070$760K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 28% 10,356 9,198 $618K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 18% 3,834 3,635 $397K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 15% 4,476 798 $336K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10% 3,574 3,334 $224K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5.1% 606 143 $112K
93320 3.6% 10,283 9,125 $79K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.5% 716 711 $76K
93304 2.9% 1,854 1,495 $63K
99205 Prolong outpt/office vis 2.1% 347 339 $46K
93325 1.8% 20,290 17,052 $40K
99417 Prolong home eval add 15m 1.4% 830 763 $31K
93356 1.3% 874 715 $29K
17 more codes
99214 Doctor's office visit, returning patient (more involved) 1.3% 366 $29K
99223 Prolong inpt eval add15 m 1.1% 213 $25K
99203 Doctor's office visit, new patient (routine) <1% 267 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 3,282 $18K
93321 <1% 4,610 $13K
93308 <1% 543 $10K
99232 Hospital visit by a doctor, follow-up day <1% 198 $9K
99244 Office or other outpatient consultation, moderate to high complexity <1% 61 $7K
76825 <1% 126 $6K
99239 Hospital discharge day management, more than 30 minutes <1% 64 $5K
99418 Prolong nursin fac eval 15m <1% 56 $4K
76827 <1% 124 $4K
99245 <1% 12 $2K
75573 <1% 12 $908.28
93000 <1% 52 $529.20
99446 <1% 13 $148.80
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) <1% 210 $82.79

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.

From NPPES

Who's on the registration

Authorized officialFINLAYSON, SAMUEL (CHIEF CLINICAL OFFICER)
Parent organizationUNIVERSITY OF UTAH PEDIATRIC SERVICES
Same official

Other billing entities under FINLAYSON, SAMUEL

Full network →
ProviderLocationPaid
University of Utah Community Physicians GroupSalt Lake City, UT$35.94M
University of Utah Pediatric Acuity CareSalt Lake City, UT$7.30M
University of Utah Adult ServicesSalt Lake City, UT$6.95M
University of Utah Adult ServicesSalt Lake City, UT$4.02M
University of Utah Adult ServicesSalt Lake City, UT$3.54M
University of Utah Adult ServicesSalt Lake City, UT$3.12M
University of Utah Adult ServicesSalt Lake City, UT$2.96M
University of Utah Pediatric ServicesSalt Lake City, UT$1.62M
University of Utah Pediatric Acuity CareSalt Lake City, UT$1.48M
Dermatology Division University of Utah Medical CenterSalt Lake City, UT$1.45M
University of Utah Specialty ServicesSalt Lake City, UT$1.35M
University of Utah Adult ServicesSalt Lake City, UT$1.25M
University of Utah Adult ServicesRock Springs, WY$1.20M
University of Utah Specialty ServicesSalt Lake City, UT$1.15M
University of Utah Adult ServicesSalt Lake City, UT$1.14M
University of Utah Adult ServicesSalt Lake City, UT$1.13M
University of Utah Adult ServicesSalt Lake City, UT$1.12M
University of Utah Acuity Care ServicesSalt Lake City, UT$1.05M
University of Utah Adult ServicesSalt Lake City, UT$1.02M
University of Utah Adult ServicesSalt Lake City, UT$954K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.