Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

South Mountain Dialysis, LLC (NPI 1033159488)

Field	Value
Entity Type	Organization
Organization	South Mountain Dialysis, LLC
Address	10969 S River Front Pkwy
City	South Jordan
State	UT
ZIP	84095
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicaid	$344.4K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4657	Syringe, with or without needle, each	7,360	$40	$316.5K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	6,310	$1	$12.6K
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	1,570	$10	$11K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	340	$10	$1.7K
84100	The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.	1,320	$1	$1.3K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	620	$1	$620
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	610	$1	$610
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	610	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	620	$0	$0
82108	The lab analyst performs a quantitative measurement of the element aluminum. Most commonly the source is serum or urine. This quantitation is important in patients on kidney dialysis or medications…	40	$0	$0

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

Claims Volume vs. Utah Distribution

South Mountain Dialysis, LLC — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4657	Syringe, with or without needle, each	3	30	740	$120	$265.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	69	120	1,100	$30	$186.6K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	14	40	3,730	$30	$154.2K
J1756	Injection, iron sucrose, 1 mg	12	30	300	$10	$7.2K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	70	80	90	$10	$4.9K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	17	60	160	$1	$4.7K
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	14	50	350	$10	$3.6K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	11	20	500	$1	$3.6K
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	11	70	190	$10	$3.6K
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	10	30	440	$10	$2.9K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as South Mountain Dialysis, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
Parenting Possibilities	UT	Behavior Analyst	$0	$12.5M
Ihc Health Services Inc	UT	Home Health Agency	$0	$9.6M
Ihc Health Services Inc	UT	Community Based Hospice Care Agency	$0	$6.5M
Roselene Dalanhese	UT	Clinical Social Worker	$0	$3M
Physician Group Of Utah Inc	UT	Specialist	$0	$2.8M
See Healthcare, LLC	UT	Community Based Hospice Care Agency	$0	$2.1M
Prime Labs LLC	UT	Clinical Medical Laboratory	$1.7M	$385.3K
City Of South Jordan	UT	Land Ambulance	$258K	$1.6M

South Mountain Dialysis, LLC — Billing Profile & Reimbursement Data

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South Mountain Dialysis, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References