Medicare provider payments and utilization data for Utah (UT)
Utah received $5.0B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Clinical Laboratory, accounting for $77.7M in payments across 21 providers.
In 2023, 9.4K providers were actively billing Medicare in Utah.
Annual Medicare spending grew 48% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $387.9M | 9.2M | 6.6K | — |
| 2015 | $413.4M | 10.5M | 6.9K | +6.6% |
| 2016 | $430.4M | 11.0M | 7.2K | +4.1% |
| 2017 | $449.0M | 11.2M | 7.5K | +4.3% |
| 2018 | $519.7M | 11.9M | 7.7K | +15.8% |
| 2019 | $549.6M | 13.0M | 8.0K | +5.8% |
| 2020 | $517.7M | 11.9M | 8.1K | -5.8% |
| 2021 | $601.0M | 13.5M | 8.6K | +16.1% |
| 2022 | $556.7M | 12.8M | 8.9K | -7.4% |
| 2023 | $572.2M | 13.3M | 9.4K | +2.8% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $47.3M | 606.9K | 4.1K |
| 81541 | Gene analysis of prostate tumor tissue, profiling by real-time rt-pcr of 46 genes | $32.6M | 8.6K | 1 |
| 81479 | Molecular pathology procedure | $31.3M | 18.6K | 3 |
| J0178 | Injection, aflibercept, 1 mg | $24.6M | 35.6K | 36 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $23.5M | 428.3K | 3.7K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $12.6M | 432.5K | 24 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $11.7M | 22.7K | 146 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $10.7M | 88.9K | 991 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $8.9M | 83.1K | 1.2K |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $8.5M | 491.5K | 640 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $7.4M | 70.7K | 1.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $6.8M | 17.0K | 71 |
| 27447 | Replacement of knee joint, both sides of knee | $6.4M | 6.0K | 152 |
| 99285 | Emergency department visit with high level of medical decision making | $5.8M | 44.3K | 457 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $5.5M | 62.4K | 700 |
| 92014 | Established patient complete exam of visual system | $5.4M | 72.2K | 325 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $5.4M | 91.3K | 876 |
| J3490 | Unclassified drugs | $5.0M | 2.9K | 25 |
| J0897 | Injection, denosumab, 1 mg | $5.0M | 272.3K | 74 |
| 97530 | Therapy procedure using functional activities | $4.5M | 184.6K | 370 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Clinical Laboratory | $77.7M | 21 | $3.7M |
| Ophthalmology | $72.2M | 164 | $440.5K |
| Nurse Practitioner | $35.4M | 1.4K | $25.5K |
| Ambulatory Surgical Center | $33.9M | 42 | $806.5K |
| Family Practice | $31.6M | 799 | $39.6K |
| Internal Medicine | $30.5M | 392 | $77.8K |
| Physical Therapist in Private Practice | $22.8M | 642 | $35.5K |
| Physician Assistant | $22.3M | 1.2K | $19.2K |
| Dermatology | $20.8M | 141 | $147.7K |
| Ambulance Service Provider | $17.8M | 74 | $240.0K |
| Diagnostic Radiology | $14.8M | 221 | $67.0K |
| Orthopedic Surgery | $14.7M | 204 | $72.3K |
| Podiatry | $11.4M | 149 | $76.6K |
| Cardiology | $10.0M | 92 | $108.6K |
| Emergency Medicine | $9.8M | 376 | $26.1K |
| Rheumatology | $9.5M | 34 | $280.9K |
| Neurology | $9.0M | 113 | $79.9K |
| Mass Immunizer Roster Biller | $7.7M | 266 | $29.1K |
| Radiation Oncology | $7.1M | 38 | $188.1K |
| Physical Medicine and Rehabilitation | $6.9M | 95 | $73.0K |
| Hematology-Oncology | $6.1M | 50 | $122.9K |
| Pathology | $5.7M | 102 | $56.2K |
| Urology | $5.7M | 61 | $93.4K |
| Pain Management | $5.2M | 36 | $144.6K |
| Anesthesiology | $5.2M | 334 | $15.4K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.