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.

Ihc Health Services, Inc. (NPI 1043220650)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services, Inc.
Address	5121 Cottonwood St
City	Murray
State	UT
ZIP	84107
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$68.7M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $68.7M in lifetime Medicaid revenue, making its public payer footprint effectively single‑payer Medicaid; the NPI was enumerated on 2006-08-08 (~20 years ago), indicating an established operation with a long tenure in the market.

Revenue is heavily concentrated: the precomputed top‑3 Medicaid codes account for 81.8% of the provider’s Medicaid revenue, and a single code, 8888888, alone contributes $46.2M (75.6% of total Medicaid revenue). This degree of concentration means a very small set of services drives the vast majority of billed Medicaid dollars.

The code mix indicates a hybrid acute care and high‑volume diagnostic/ED operation: 85025 (CBC) shows 65.2K claims ($2.3M revenue) and emergency E/M codes (99283 at 29K claims, 99284 at 40.2K claims) and infusion/administration codes (96374 at 31.8K claims, 96375 at 21.8K claims) are all prominent. The presence of advanced imaging and cardiac services such as 78431 (PET myocardial) and 93306 (echocardiography) further suggests the facility delivers both routine lab/ED throughput and higher‑acuity diagnostic services.

Competitive standing within the state is strong for multiple lines: 85025 ranks #2 of 121 providers in‑state (99th percentile), 96374 ranks #1 of 48 (100th percentile), and 8888888 ranks #3 of 57 (96th percentile). These rankings indicate the provider is a major volume player for several high‑revenue Medicaid codes relative to in‑state peers.

Several codes related to procedure and wound care, imaging, and lab testing appear as unusually high‑volume outliers: 11042, 0241U, 76815 and 96375 are flagged as extreme outliers or at the 100th percentile, and A0431/A0430 show material paid amounts for air transport. This pattern points to concentrated specialty and procedural throughput beyond routine ambulatory care.

Air transport and high‑cost imaging contribute noticeable Medicaid dollars: A0431 (rotary wing) shows $976.9K revenue at $606 avg paid/claim, A0430 (fixed wing) shows $656.4K, and 78431 (PET myocardial) accounts for $805.4K. While these line items are smaller than the dominant 8888888 code, they represent differentiated, higher‑unit‑priced services in the provider’s mix.

The extreme revenue reliance on a single unidentified code (8888888: 99.8K claims, $463 avg paid/claim) combined with multiple other codes characterized as "extreme outlier" or at the 100th percentile suggests this provider’s billing profile is atypical relative to peers; this could reflect a concentrated service contract, a large centralized lab or program, or other operational centralization rather than a broadly diversified payer mix.

From a payer/provider intelligence perspective, the combination of long tenure (~20 years), Medicaid‑only billing, and very high percentile rankings on many codes indicates an established, Medicaid‑focused hospital with outsized statewide volume in select diagnostics, ED services, and infusion/administration procedures; monitoring of contract terms and utilization drivers for the dominant codes would be prudent for competitive and financial risk assessment.

Medicaid: Complete Services Breakdown

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

338 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	99,800	$460	$46.2M
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…	65,180	$40	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	31,800	$50	$1.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	29,050	$40	$1.1M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	1,610	$610	$976.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	6,040	$150	$894.2K
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	1,140	$710	$805.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	5,300	$150	$800.6K
0241U	N/A	7,090	$100	$709.3K
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	450	$1,450	$656.4K

Showing 1–10 of 338

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

Ihc Health Services, Inc. — 19 of 25 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

338 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	3	60	8,900	$400	$9.5M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	2	10	1,050	$1,320	$1.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	30	1,760	$50	$1.6M
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	3	10	450	$1,330	$855.7K
A0435	Fixed wing air mileage, per statute mile	3	10	460	$1,220	$796.5K
A0436	Rotary wing air mileage, per statute mile	2	10	1,060	$610	$773.1K
J3490	Unclassified drugs	6	30	150	$90	$520.6K
T1015	Clinic visit/encounter, all-inclusive	62	70	270	$110	$376.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	9	70	1,610	$30	$367.9K
C1751	Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)	3	10	90	$30	$328.7K

Showing 1–10 of 338

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ihc Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as Ihc Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$18.6M
Ddi Vantage	UT	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Home Caregivers Partnership, LLC	UT	Home Health Agency	$0	$10.4M
Gcs Foundation	UT	Supports Brokerage Agency	$0	$6.2M
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$6.1M
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Project Reality	UT	Mental Health Counselor	$0	$5.1M
Caregiver Support Network, Inc	UT	Home Health Agency	$0	$5M

Ihc Health Services, Inc. — Billing Profile & Reimbursement Data

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Ihc Health Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References