Utah's 4,889 Medicaid providers billed $5.20B between 2018 and 2024. The most-billed code is 8888888, accounting for $542.57M in payments. Salt Lake City is the largest Medicaid billing hub in the state.
| Code | Description | Total Paid |
|---|---|---|
| 8888888 | Internal/system code - not a standard HCPCS code | $542.57M |
| 90837 | Psychotherapy, 53 minutes with patient | $261.99M |
| 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $252.75M |
SALT LAKE CITY ($1.98B) PROVO ($319.81M) ST. GEORGE ($301.07M) OGDEN ($271.09M) ST GEORGE ($253.22M) MURRAY ($183.31M) LAYTON ($153.39M) SOUTH JORDAN ($119.03M) TAYLORSVILLE ($108.05M) LOGAN ($99.39M) OREM ($88.38M) WEST JORDAN ($86.36M) MONTEZUMA CREEK ($70.94M) DRAPER ($67.53M) TOOELE ($66.49M) WEST VALLEY CITY ($65.32M) SANDY ($64.17M) CEDAR CITY ($63.44M) AMERICAN FORK ($47.11M) SOUTH OGDEN ($44.80M) PRICE ($42.86M) IBAPAH ($41.33M) MIDVALE ($37.58M) RIVERTON ($34.91M) VERNAL ($32.95M) WOODS CROSS ($31.91M) ROOSEVELT ($30.58M) BRIGHAM CITY ($25.23M) BOUNTIFUL ($25.14M) DELTA ($20.88M) LEHI ($20.28M) SPANISH FORK ($20.27M) SAINT GEORGE ($18.58M) KAYSVILLE ($18.32M) MOUNT PLEASANT ($18.24M) BLANDING ($16.56M) PLEASANT GROVE ($14.64M) PAYSON ($14.04M) FARMINGTON ($12.97M) MAGNA ($12.54M) NORTH LOGAN ($12.31M) RICHFIELD ($12.27M) PARK CITY ($12.02M) SPRINGVILLE ($10.99M) PROVIDENCE ($10.41M) HEBER CITY ($9.49M) WEST VALLEY ($9.26M) CLEARFIELD ($8.82M) MOUNTAIN GREEN ($6.88M) HURRICANE ($6.25M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | DDI VANTAGE | $18.40M | single-code billing |
| 2 | UTAH NAVAJO HEALTH SYSTEM, INCORPORATED | $15.67M | single-code billing |
| 3 | BENCHMARK BEHAVIORAL HEALTH SYSTEM INC | $7.44M | single-code billing |
| 4 | KIDS ON THE MOVE, INC. | $6.69M | single-code billing |
| 5 | JORDAN SCHOOL DISTRICT | $6.63M | single-code billing |
| 6 | GARDENS RETIREMENT HOME | $5.24M | single-code billing |
| 7 | CLOUD NINE SEDATIONS | $5.08M | single-code billing |
| 8 | VALLEY MENTAL HEALTH INCORPORATED | $5.03M | single-code billing |
| 9 | RIVERWOODS SURGERY CENTER, LLC | $4.95M | single-code billing |
| 10 | FAMILY SURGICAL SUITE | $4.78M | single-code billing |
| 11 | SSSHT OPCO 1245 E MURRAY HOLLADAY ROAD LLC | $4.31M | single-code billing |
| 12 | KIDS BEHAVIORAL HEALTH OF UTAH, INC | $4.15M | single-code billing |
| 13 | FAMILY ENRICHMENT CENTER DAVIS SCHOOL DISTRICT | $3.86M | single-code billing |
| 14 | BRISTOL HOSPICE - UTAH, L.L.C. | $3.70M | single-code billing |
| 15 | APPLE TREE ASSISTED LIVING | $3.52M | single-code billing |
| 16 | KIDS WHO COUNT | $3.24M | single-code billing |
| 17 | UTAH STATE UNIVERSITY, CENTER FOR PERSONS WITH DISABILITIES | $3.20M | single-code billing |
| 18 | ROSEWOOD ASSISTED CARE INC | $3.20M | single-code billing |
| 19 | GAHC4 WEST HAVEN UT TRS SUB, LLC | $3.18M | single-code billing |
| 20 | EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. | $3.16M | single-code billing |
| 21 | VIVE CARE | $3.07M | single-code billing |
| 22 | STATE OF UTAH, DEPARTMENT OF HEALTH | $2.88M | single-code billing |
| 23 | MG TAYLORSVILLE SUBTENANT LLC | $2.70M | single-code billing |
| 24 | BRISTOL HOSPICE - UTAH II, L.L.C. | $2.59M | single-code billing |
| 25 | INSPIRATION HOSPICE LLC | $2.59M | single-code billing |
| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | AMERICAN LOGISTICS, LLC. | ST. GEORGE | 14,684,050 | $299.87M |
| 2 | VALLEY BEHAVIORAL HEALTH INCORPORATED | SALT LAKE CITY | 2,690,066 | $293.43M |
| 3 | UNIVERSITY OF UTAH | SALT LAKE CITY | 4,831,388 | $221.14M |
| 4 | ABS UTAH, P.C. | SALT LAKE CITY | 654,249 | $197.19M |
| 5 | WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT | PROVO | 1,898,120 | $178.23M |
| 6 | IHC HEALTH SERVICES, INC. | SALT LAKE CITY | 820,675 | $129.52M |
| 7 | MYRIAD GENETIC LABORATORIES, INC. | SALT LAKE CITY | 386,281 | $124.78M |
| 8 | GOLD CROSS SERVICES, INC. | SALT LAKE CITY | 514,285 | $92.53M |
| 9 | ODYSSEY HOUSE INC | SALT LAKE CITY | 203,298 | $84.49M |
| 10 | WEBER HUMAN SERVICES | OGDEN | 784,612 | $81.61M |
| 11 | DAVIS BEHAVIORAL HEALTH INC | LAYTON | 797,445 | $70.81M |
| 12 | IHC HEALTH SERVICES, INC. | MURRAY | 1,094,186 | $68.77M |
| 13 | IHC HEALTH SERVICES, INC. | ST GEORGE | 911,010 | $65.78M |
| 14 | BRIDGEWAY INTEGRATED HEALTHCARE SERVICES | TAYLORSVILLE | 400,977 | $65.70M |
| 15 | SOUTHWEST CENTER | ST GEORGE | 426,259 | $58.37M |
| 16 | UTAH NAVAJO HEALTH SYSTEM, INCORPORATED | MONTEZUMA CREEK | 316,981 | $55.12M |
| 17 | IHC HEALTH SERVICES INC | OGDEN | 855,051 | $54.08M |
| 18 | FIRST STEP HOUSE | SALT LAKE CITY | 288,847 | $46.06M |
| 19 | IHC HEALTH SERVICES, INC. | PROVO | 646,348 | $44.35M |
| 20 | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION | IBAPAH | 113,454 | $41.30M |
| 21 | BEAR RIVER MENTAL HEALTH SERVICES INC | LOGAN | 417,872 | $40.53M |
| 22 | IHC HEALTH SERVICES INC | SOUTH JORDAN | 375,394 | $38.18M |
| 23 | IVY LANE PEDIATRICS, LLC | SOUTH OGDEN | 134,672 | $37.07M |
| 24 | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP | SALT LAKE CITY | 529,815 | $35.94M |
| 25 | VOLUNTEERS OF AMERICA OF UTAH INC | SALT LAKE CITY | 199,383 | $35.89M |
| 26 | NORTHERN UTAH HEALTHCARE CORPORATION | SALT LAKE CITY | 708,979 | $35.69M |
| 27 | BEECHTREE DIAGNOSTICS LLP | DRAPER | 614,049 | $34.70M |
| 28 | EMERGENCY PHYSICIANS INTEGRATED CARE, LLC | SALT LAKE CITY | 437,664 | $31.13M |
| 29 | ACORN CARE LLC | SALT LAKE CITY | 401,407 | $28.22M |
| 30 | RED ROCK HEALTHCARE, INC. | ST GEORGE | 122,231 | $27.23M |
| 31 | IHC HEALTH SERVICES INC | SOUTH JORDAN | 578,578 | $26.94M |
| 32 | SKULL VALLEY HEALTH CARE | TOOELE | 43,515 | $25.85M |
| 33 | IHC HEALTH SERVICES INC | LOGAN | 409,007 | $25.34M |
| 34 | REVERE HEALTH PC | PROVO | 585,484 | $23.91M |
| 35 | EVOLVE EMOD LLC | SALT LAKE CITY | 15,160 | $23.89M |
| 36 | UNIVERSITY OF UTAH | SALT LAKE CITY | 135,347 | $23.16M |
| 37 | DAVIS HOSPITAL & MEDICAL CENTER LP | LAYTON | 417,491 | $22.49M |
| 38 | IHC HEALTH SERVICES, INC. | CEDAR CITY | 325,475 | $20.40M |
| 39 | IHC HEALTH SERVICES, INC. | SALT LAKE CITY | 307,391 | $19.91M |
| 40 | CENTRAL UTAH COUNSELING CENTER | DELTA | 174,299 | $19.68M |
| 41 | FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH, INC. | PRICE | 283,446 | $19.46M |
| 42 | RATHBURN HEALTHCARE LLC | SALT LAKE CITY | 41,763 | $19.10M |
| 43 | ALPINE HOME MEDICAL EQUIPMENT LLC | SALT LAKE CITY | 426,789 | $18.61M |
| 44 | HELPING HAND ASSOCIATION | SALT LAKE CITY | 67,522 | $18.42M |
| 45 | DDI VANTAGE | SALT LAKE CITY | 40,601 | $18.40M |
| 46 | IHC HEALTH SERVICES, INC. | MURRAY | 1,151,104 | $17.86M |
| 47 | COLUMBIA OGDEN MEDICAL CENTER, INC. | OGDEN | 328,382 | $17.57M |
| 48 | IHC HEALTH SERVICES, INC. | AMERICAN FORK | 271,618 | $17.19M |
| 49 | OGDEN CITY CORPORATION | OGDEN | 76,629 | $17.02M |
| 50 | MATR, INC. | MOUNT PLEASANT | 65,461 | $16.80M |
| 51 | PAIUTE INDIAN TRIBE OF UTAH | CEDAR CITY | 43,593 | $16.39M |
| 52 | HOME HEALTH SPECIALISTS, LLC | OREM | 68,195 | $16.09M |
| 53 | UTAH NAVAJO HEALTH SYSTEM, INCORPORATED | MONTEZUMA CREEK | 35,690 | $15.67M |
| 54 | JORDAN VALLEY MEDICAL CENTER LP | WEST VALLEY CITY | 265,228 | $15.57M |
| 55 | LINEAGEN, INC. | SALT LAKE CITY | 27,179 | $15.50M |
| 56 | IHC HEALTH SERVICES INC | RIVERTON | 189,118 | $15.31M |
| 57 | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION | SALT LAKE CITY | 104,363 | $15.11M |
| 58 | UTAH HOMECARE LLC | WEST JORDAN | 82,557 | $14.96M |
| 59 | UNIFIED FIRE AUTHORITY-SALT LAKE | SALT LAKE CITY | 64,902 | $14.63M |
| 60 | UTAH EMERGENCY PHYSICIANS | SALT LAKE CITY | 214,562 | $14.59M |
| 61 | UT BCDO SPECIALTY DENTAL SERVICES, PLLC | WEST JORDAN | 423,135 | $14.06M |
| 62 | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION | SALT LAKE CITY | 25,099 | $13.89M |
| 63 | C.N.S. CORPORATION | WEST VALLEY CITY | 235,891 | $13.51M |
| 64 | VIRGIN RIVER HEALTHCARE, INC. | ST GEORGE | 275,190 | $13.25M |
| 65 | UTAH CASE MANAGEMENT | DRAPER | 245,988 | $13.24M |
| 66 | UINTAH BASIN MEDICAL CENTER | ROOSEVELT | 302,519 | $12.88M |
| 67 | MAXIM HEALTHCARE SERVICES, INC. | SANDY | 36,350 | $12.86M |
| 68 | PARENTING POSSIBILITIES | SOUTH JORDAN | 68,715 | $12.51M |
| 69 | UTAH VALLEY PEDIATRICS L.L.C. | PROVO | 453,580 | $11.95M |
| 70 | TOOELE HOSPITAL CORPORATION | TOOELE | 201,445 | $11.66M |
| 71 | IHC HEALTH SERVICES INC | SANDY | 154,653 | $11.66M |
| 72 | IHC HEALTH SERVICES, INC. | LAYTON | 151,461 | $11.61M |
| 73 | HOUSE OF HOPE | SALT LAKE CITY | 85,696 | $11.58M |
| 74 | UINTAH BASIN TRI-COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE LOCAL AUTHOR | VERNAL | 137,120 | $11.40M |
| 75 | GRANITE SCHOOL DISTRICT | SALT LAKE CITY | 598,681 | $10.69M |
| 76 | IHC HEALTH SERVICES INC | SALT LAKE CITY | 8,796 | $10.45M |
| 77 | HOME CAREGIVERS PARTNERSHIP, LLC | MURRAY | 136,918 | $10.40M |
| 78 | BCBU, INC. | WOODS CROSS | 54,009 | $10.21M |
| 79 | ODYSSEY HOUSE INC | SALT LAKE CITY | 99,367 | $10.13M |
| 80 | SALT LAKE REGIONAL MEDICAL CENTER LP | SALT LAKE CITY | 170,464 | $9.78M |
| 81 | HOPEFUL BEGINNINGS | TAYLORSVILLE | 85,578 | $9.61M |
| 82 | IHC HEALTH SERVICES INC | SOUTH JORDAN | 172,411 | $9.58M |
| 83 | NOMI HEALTH INC. | SALT LAKE CITY | 621,981 | $9.11M |
| 84 | JORDAN VALLEY MEDICAL CENTER LP | WEST JORDAN | 110,052 | $9.07M |
| 85 | SALT LAKE HOMECARE | SALT LAKE CITY | 146,945 | $8.71M |
| 86 | NORTHWESTERN BAND OF THE SHOSHONE | BRIGHAM CITY | 33,559 | $8.54M |
| 87 | ALPINE SCHOOL DISTRICT | AMERICAN FORK | 93,623 | $8.42M |
| 88 | VALI DIVISION OF WASATCH, INC | WOODS CROSS | 2,937 | $8.37M |
| 89 | OGDEN CLINIC PC | OGDEN | 230,637 | $8.29M |
| 90 | UTAH AUTISM ACADEMY | MIDVALE | 70,575 | $8.18M |
| 91 | TANNER MEMORIAL CLINIC | LAYTON | 312,630 | $8.13M |
| 92 | ASSOCIATED REGIONAL AND UNIVERSITY PATHOLOGISTS INC | SALT LAKE CITY | 377,005 | $8.13M |
| 93 | NORCO, INC. | SALT LAKE CITY | 140,123 | $7.96M |
| 94 | DAVIS SCHOOL DISTRICT | FARMINGTON | 45,049 | $7.93M |
| 95 | WASATCH HOMELESS HEALTH CARE, INC. | SALT LAKE CITY | 101,444 | $7.87M |
| 96 | TIMPANOGOS REGIONAL MEDICAL SERVICES, INC. | OREM | 124,559 | $7.83M |
| 97 | CRIMSON HEIGHTS LLC | ST GEORGE | 41,791 | $7.80M |
| 98 | SOUTHWEST CENTER | ST GEORGE | 94,030 | $7.76M |
| 99 | FAMILIES FIRST PEDIATRICS | KAYSVILLE | 220,232 | $7.73M |
| 100 | COUNTY OF SALT LAKE | SALT LAKE CITY | 126,207 | $7.53M |