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.

State Of Utah, Department Of Health (NPI 1063062164)

Field	Value
Entity Type	Organization
Organization	State Of Utah, Department Of Health
Address	2540 Washington Blvd Ste 122
City	Ogden
State	UT
ZIP	84401
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	September 19, 2019

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	6,200	$470	$2.9M

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

State Of Utah, Department Of Health — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	10	20	6,200	$460	$3.4M

Nearby Providers

Other providers in the same ZIP code as State Of Utah, Department Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Weber Human Services	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$81.6M
Ogden City Corporation	UT	Ambulance	$689.2K	$17M
Midtown Community Health Center Inc	UT	Federally Qualified Health Center (FQHC)	$0	$4.5M
Alpha Counseling And Treatment, Inc	UT	Mental Health Counselor	$0	$4M
Gahc4 West Haven Ut Trs Sub, LLC	UT	Assisted Living Facility	$0	$3.2M
Weber Human Services	UT	Case Management Agency	$0	$2.8M
Weber Recovery Center LLC	UT	Substance Abuse Rehabilitation Facility	$0	$2.7M
Richard Arbogast	UT	Family Medicine Physician	$0	$2.5M
Ogden City School District	UT	Local Education Agency (LEA)	$0	$2.1M
Baymark Health Services Of Utah, Inc.	UT	Substance Use Disorder Rehabilitation Clinic/Center	$125.8K	$1.8M

State Of Utah, Department Of Health — Billing Profile & Reimbursement Data

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State Of Utah, Department Of Health — 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