Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI: 1942664412 · SALT LAKE CITY, UT 84113 · Pediatric Cardiology 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

$2.21M
Total Medicaid Paid
68,249
Total Claims
56,141
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 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

CodeDescriptionClaimsBeneficiariesTotal Paid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 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 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,574 3,334 $224K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 606 143 $112K
93320 10,283 9,125 $79K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 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 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 366 359 $29K
99223 Prolong inpt eval add15 m 213 197 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 267 267 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,282 3,083 $18K
93321 4,610 3,731 $13K
93308 543 460 $10K
99232 Subsequent hospital care, per day, moderate complexity 198 82 $9K
99244 Office or other outpatient consultation, moderate to high complexity 61 61 $7K
76825 126 112 $6K
99239 Hospital discharge day management, more than 30 minutes 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 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) 210 209 $82.79