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.

Planned Parenthood Association Of Utah (NPI 1073549614)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Association Of Utah
Address	654 S 900 E
City	Salt Lake City
State	UT
ZIP	84102
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	7,360	$40	$316.4K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	5,640	$40	$197.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,260	$80	$176.1K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	330	$530	$173.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,870	$50	$137.7K
J1050	Injection, medroxyprogesterone acetate, 1 mg	3,320	$40	$122.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,490	$50	$71.3K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	7,360	$10	$36.8K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	340	$70	$22.4K
J7297	Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg	70	$330	$21.5K

Showing 1–10 of 28

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

Planned Parenthood Association Of Utah — 5 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3490	Unclassified drugs	17	30	150	$90	$520.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	143	240	220	$50	$145.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	2	10	550	$270	$144.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,237	1,340	200	$80	$144K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	172	1,360	190	$70	$125K
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…	28	160	250	$50	$76.9K
J1050	Injection, medroxyprogesterone acetate, 1 mg	2	10	60	$60	$48.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	18	90	120	$40	$41.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	3	50	330	$20	$40.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	85	290	100	$70	$37.1K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Association Of Utah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kelli Gross	UT	Urology Physician	$24.2K	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Association Of Utah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Integrated Care, LLC	UT	Emergency Medicine Physician	$0	$31.2M
Helping Hand Association	UT	Substance Abuse Rehabilitation Facility	$0	$18.4M
House Of Hope	UT	Substance Abuse Rehabilitation Facility	$0	$11.6M
Odyssey House Inc	UT	Family Medicine Physician	$0	$10.1M
Salt Lake Regional Medical Center LP	UT	General Acute Care Hospital	$0	$9.8M
Lyssa Inc	UT	Ambulatory Surgical Clinic/Center	$0	$7.2M
First Step House	UT	Clinical Medical Laboratory	$0	$2.3M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$1.3M
S-h Opco Salt Lake City, LLC	UT	Assisted Living Facility	$0	$879.2K
Ihc Health Services Inc	UT	Internal Medicine Physician	$0	$854K

Planned Parenthood Association Of Utah — Billing Profile & Reimbursement Data

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Planned Parenthood Association Of Utah — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References