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 1104912732)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services Inc
Address	11520 S Redwood Road
City	South Jordan
State	UT
ZIP	84095
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$26.9M
Medicare	$0

Key Findings

IHC HEALTH SERVICES INC is effectively a Medicaid-focused DME supplier: the profile shows no Medicare billing on file and $26.9M in lifetime Medicaid revenue, and its highest-revenue codes are durable medical equipment and supplies such as A4554 (disposable underpads, $3.5M revenue, 49.2K claims), E1390 (oxygen concentrator, $2.9M revenue, 49.7K claims) and E0465 (home ventilator with invasive interface, $2.2M revenue, 3.8K claims). The code mix (incontinence products, oxygen delivery, ventilators, oximeters and consumables) aligns with a supplier that operates both high-volume consumable distribution and higher-cost respiratory equipment and rentals.

Revenue concentration is significant: the precomputed top-three codes account for 38.8% of this provider's total Medicaid revenue, with A4554 alone representing $3.5M (15.9%), E1390 $2.9M (13.0%), and E0465 $2.2M (10.0%). This level of concentration indicates that a relatively small set of product categories—underpads, home oxygen systems, and home ventilators—drive a large share of the provider’s Medicaid receipts.

The payer mix is effectively single-payer Medicaid: the dataset explicitly reports no Medicare billing on file while Medicaid revenue totals $26.9M, so analyses of commercial or Medicare exposure are not supported by the available billing records. Any competitive or growth assessments should therefore treat the provider’s Medicaid performance as the primary revenue signal and be cautious about extrapolating to Medicare markets.

IHC holds dominant in-state positions on multiple high-volume DME items. A4554 ranks #1 of 14 providers in-state and is labeled an "extreme outlier," A4927 (gloves) ranks #1 of 17 and is also an "extreme outlier," and E0465 ranks #1 of 5 (100th percentile), while E1390 ranks #2 of 46 at the 98th percentile. These rank and percentile positions indicate the provider is a major statewide supplier for several categories rather than a marginal participant.

Operational scale is evident from large claim volumes across several codes: A4927 shows 64K claims ($1.1M revenue), E1390 49.7K claims ($2.9M revenue), and A4554 49.2K claims ($3.5M revenue). The coexistence of very high claim-count, lower-unit-price consumables (gloves, underpads, incontinence supplies) with lower-frequency, higher-unit-price items (ventilators, respirators, and oxygen systems) suggests a combined business model of high-throughput supply distribution plus complex-equipment fulfillment and rentals.

The provider’s service mix includes components for complex respiratory care: E0465 (home ventilator, invasive) is $2.2M, E0466 (home ventilator, non-invasive) is $574.2K, A4483 (moisture exchanger for invasive ventilation) is $425.4K, A7030 (full face mask) is $396.5K, and E0601 (CPAP) is $378.9K. These entries show capability to support both invasive and non-invasive respiratory patients, indicating clinical capacity beyond simple supplies and consistent billing across multiple respiratory device codes.

Tenure is long-standing: the NPI was enumerated on 2006-10-04 (~20 years ago), indicating two decades of registration which supports interpretation of the Medicaid volumes as the result of an established operation rather than a newly entered provider. This longevity reinforces that the observed code concentrations are persistent characteristics rather than a brief spike.

Statistical outlier signals are widespread across the provider’s Medicaid code mix: several lines are described explicitly as "extreme outlier" or "notably above typical state volume," including A4554 (extreme outlier), A4927 (extreme outlier), E1390 (notably above typical), and many incontinence and respiratory codes at the 100th percentile in-state. For competitive or utilization reviews, these labels suggest unusually high market share or utilization density in those categories within the state and warrant focused peer comparisons for those specific codes.

Medicaid: Complete Services Breakdown

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

127 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4554	Disposable underpads, all sizes	49,210	$70	$3.5M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	49,690	$60	$2.9M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3,780	$590	$2.2M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	19,400	$60	$1.2M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	15,190	$70	$1.1M
A4927	Gloves, non-sterile, per 100	64,040	$20	$1.1M
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	13,420	$80	$1M
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	14,040	$60	$814.1K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	9,540	$90	$810.5K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	6,650	$110	$738.3K

Showing 1–10 of 127

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 — 20 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

127 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	320	$620	$598K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	2	10	2,250	$280	$571.8K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	2	50	2,950	$50	$530.1K
A4554	Disposable underpads, all sizes	1	10	1,800	$40	$344.2K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	1	10	1,760	$120	$308.9K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1	10	1,830	$100	$270.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	1	10	3,370	$70	$268.2K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	2,060	$80	$263.9K
E1399	Durable medical equipment, miscellaneous	2	10	1,050	$150	$250.9K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	1	10	1,250	$90	$238.9K

Showing 1–10 of 127

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
Ihc Health Services, Inc.	UT	Children's Hospital	$0	$129.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$54.1M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$25.3M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$19.9M

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
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 Point Counseling Services, LLC	UT	Clinical Social Worker	$0	$1.8M
Copperview Medical Center, LLC	UT	Family Medicine Physician	$0	$1.5M

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