UNIVERSITY OF UTAH PEDIATRIC SERVICES
NPI: 1942664412
· SALT LAKE CITY, UT 84113
· 2080P0202X
$2.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,874 |
$101K |
| 2019 |
4,768 |
$92K |
| 2020 |
5,377 |
$101K |
| 2021 |
8,752 |
$221K |
| 2022 |
10,710 |
$299K |
| 2023 |
15,698 |
$630K |
| 2024 |
17,070 |
$760K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 93303 |
|
10,356 |
9,198 |
$618K |
| 99215 |
Prolong outpt/office vis |
3,834 |
3,635 |
$397K |
| 99233 |
Prolong inpt eval add15 m |
4,476 |
798 |
$336K |
| 93306 |
|
3,574 |
3,334 |
$224K |
| 99291 |
|
606 |
143 |
$112K |
| 93320 |
|
10,283 |
9,125 |
$79K |
| 99204 |
|
716 |
711 |
$76K |
| 93304 |
|
1,854 |
1,495 |
$63K |
| 99205 |
Prolong outpt/office vis |
347 |
339 |
$46K |
| 93325 |
|
20,290 |
17,052 |
$40K |
| 99417 |
Prolong home eval add 15m |
830 |
763 |
$31K |
| 93356 |
|
874 |
715 |
$29K |
| 99214 |
|
366 |
359 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
213 |
197 |
$25K |
| 99203 |
|
267 |
267 |
$19K |
| 93010 |
|
3,282 |
3,083 |
$18K |
| 93321 |
|
4,610 |
3,731 |
$13K |
| 93308 |
|
543 |
460 |
$10K |
| 99232 |
|
198 |
82 |
$9K |
| 99244 |
|
61 |
61 |
$7K |
| 76825 |
|
126 |
112 |
$6K |
| 99239 |
|
64 |
61 |
$5K |
| 99418 |
Prolong nursin fac eval 15m |
56 |
12 |
$4K |
| 76827 |
|
124 |
111 |
$4K |
| 99245 |
|
12 |
12 |
$2K |
| 75573 |
|
12 |
12 |
$908.28 |
| 93000 |
|
52 |
52 |
$529.20 |
| 99446 |
|
13 |
12 |
$148.80 |
| G2211 |
Complex e/m visit add on |
210 |
209 |
$82.79 |