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 1114025491)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services, Inc.
Address	1034 N 500 W
City	Provo
State	UT
ZIP	84604
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$44.3M
Medicare	$0

Key Findings

IHC HEALTH SERVICES, INC. is effectively a single-payer Medicaid reporter: there is no Medicare billing on file while total Medicaid revenue is $44.3M, indicating the provider’s billed activity and financial footprint in the available data come almost entirely from Medicaid. This asymmetric payer mix suggests analyses of utilization and risk should focus on Medicaid trends and state-level competitive dynamics.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 85.1% of the provider’s total Medicaid revenue. In particular, code 8888888 alone represents $31.7M (79.7% of Medicaid revenue), with 85025 contributing $1.4M (3.5%) and 96374 contributing $806.2K (2.0%), so a very small set of codes drive the vast majority of reported revenue.

The dominance of 8888888 (no description available) as the single largest revenue driver suggests the provider’s financial profile is tied to one high-volume or high-paid service category that is not described in the file; that concentration, combined with meaningful volumes in lab (85025) and infusion/IV administration (96374, 96372, 96365), implies a hospital operating model with large-scale outpatient lab and infusion or ED-associated procedures. Given the absence of a description for 8888888, further investigation into that code’s billing context is warranted to understand service mix.

Emergency department services are a substantial operational footprint: E/M codes 99284 (21.7K claims), 99283 (17.9K claims), 99285 (13.1K claims), and 99282 (4.7K claims) together show high ED throughput. Several of these ED codes rank in the upper percentiles statewide (for example, 99283 is at the 96th percentile and described as notably above typical), which supports the conclusion that ED visit volume is a major component of clinical activity.

Ancillary diagnostics and imaging are prominent: 85025 (CBC) has 38.2K claims and $1.4M revenue and ranks #6 of 121 providers in-state (96th percentile; notably above typical), while other lab codes (80050, 80307, 85027) and imaging/ultrasound codes (93306, 76816, 76815, 70450) also appear in the top code list. This mix is consistent with a general acute care hospital that performs high volumes of routine labs, imaging, and cardiac/obstetric diagnostics in the outpatient/hospital setting.

Competitive standing across top codes is mixed within Utah: despite 8888888 producing $31.7M, the provider ranks #7 of 57 in-state for that code and is described as having typical, unremarkable volume at the 89th percentile. By contrast, 85025 and several ED codes sit at or above the 90th percentile (85025 at the 96th percentile; ED codes often in the 90s), indicating the provider is a leading in-state performer for routine labs and emergency care volumes but not necessarily dominant for the large unspecified revenue category.

The extreme revenue reliance on a single, unspecified code creates financial sensitivity: with 8888888 accounting for $31.7M (79.7% of Medicaid revenue) the provider’s Medicaid revenue stream would be materially affected by reimbursement or coding changes affecting that code. That concentration underscores an operational and reimbursement risk that should be prioritized in contract negotiations and forecasting.

The provider has a long tenure in the NPI registry (enumerated 2006-09-20, ~20 years ago), suggesting an established local presence and operational continuity. Coupled with the observed Medicaid-dominant billing and strong ED/lab volumes, the long NPI tenure supports the interpretation of a stable hospital-level care provider with entrenched outpatient and emergency service lines within the state.

Medicaid: Complete Services Breakdown

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

289 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	70,590	$450	$31.7M
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…	38,210	$40	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	15,210	$50	$806.2K
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.	17,950	$40	$717.8K
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…	4,860	$110	$553.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	21,660	$20	$519.8K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13,090	$40	$458.2K
0241U	N/A	3,590	$130	$455.8K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	4,600	$90	$414.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,340	$200	$269.7K

Showing 1–10 of 289

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. — 2 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

289 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	7	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	5	30	1,760	$50	$1.6M
J3490	Unclassified drugs	5	30	150	$90	$520.6K
T1015	Clinic visit/encounter, all-inclusive	58	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.	15	70	1,610	$30	$367.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	11	160	190	$70	$283.2K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	4	10	60	$740	$253.1K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	12	190	200	$50	$239.5K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	10	40	770	$90	$231.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	6	10	280	$350	$218.2K

Showing 1–10 of 289

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	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
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
Revere Health PC	UT	Multi-Specialty Clinic/Center	$0	$24M
Utah Valley Pediatrics L.L.C.	UT	Pediatrics Physician	$0	$11.9M
Riverwoods Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$737.9K	$5M
Utah Valley Emergency Physicians Inc	UT	Emergency Medicine Physician	$0	$4.7M
Ryan Isom	UT	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Jack Stringham	UT	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Richard Corey	UT	Retina Specialist (Ophthalmology) Physician	$3M	$50.1K
Provo City Board Of Education	UT	Local Education Agency (LEA)	$0	$3M
Robert Welch	UT	Retina Specialist (Ophthalmology) Physician	$2.5M	$0

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