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.

Star Kids (NPI 1104319268)

Field	Value
Entity Type	Organization
Organization	Star Kids
Address	131 S 700 E Ste 101
City	American Fork
State	UT
ZIP	84003
Taxonomy	Home Health Agency
NPI Enumerated	June 12, 2018

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	11,230	$370	$4.2M
T1005	Respite care services, up to 15 minutes	3,930	$210	$830.1K
T1001	Nursing assessment / evaluation	110	$100	$11.2K

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

Star Kids — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	6	10	25,500	$350	$11.1M
T1005	Respite care services, up to 15 minutes	5	10	3,930	$150	$1.7M
T1001	Nursing assessment / evaluation	48	70	700	$80	$603.4K

Nearby Providers

Other providers in the same ZIP code as Star Kids, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$17.2M
Alpine School District	UT	Local Education Agency (LEA)	$0	$8.4M
American Fork City Corporation	UT	Land Ambulance	$188.3K	$2.8M
Alliance Youth Services	UT	Foster Care Agency	$0	$2.5M
Smith And Macdonald Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.3M
North Valley Emergency Physicians Lc	UT	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.5M
Michael Whiting	UT	Pediatric Adolescent Medicine Physician	$0	$827.1K
Chad Gollaher	UT	Pediatric Dentistry	$0	$759.4K
David Macdonald	UT	Pediatric Dentistry	$0	$729.9K
Don Boren	UT	General Practice Dentistry	$0	$679.4K

Star Kids — Billing Profile & Reimbursement Data

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Star Kids — Billing Profile & Reimbursement Data

Sign up for Star Kids — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References