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.

Blue Mountain Hospital (NPI 1114152527)

Field	Value
Entity Type	Organization
Organization	Blue Mountain Hospital
Address	802 S 200 W
City	Blanding
State	UT
ZIP	84511
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	May 29, 2009

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	4,490	$340	$1.5M
J1756	Injection, iron sucrose, 1 mg	810	$150	$120.1K
A4657	Syringe, with or without needle, each	2,670	$40	$117.4K
J2501	Injection, paricalcitol, 1 mcg	1,690	$1	$1.7K
86704	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for total hepatitis B core antibodies. This test gives a total result of all immunoglobulin types.	130	$1	$260
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	1,400	$0	$0
82108	The lab analyst performs a quantitative measurement of the element aluminum. Most commonly the source is serum or urine. This quantitation is important in patients on kidney dialysis or medications…	100	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	1,400	$0	$0
82374	The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.	1,470	$0	$0
82435	The lab analyst performs the technical lab test to analyze the amount of chloride, sometimes abbreviated Cl, in the blood.	1,470	$0	$0

Showing 1–10 of 29

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

Blue Mountain Hospital — 0 of 5 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4657	Syringe, with or without needle, each	8	30	740	$120	$265.8K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	17	40	3,730	$30	$154.2K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	45	50	1,150	$10	$52.1K
J1644	Injection, heparin sodium, per 1000 units	6	20	1,150	$20	$40.4K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	2	10	550	$1	$12.6K
J1756	Injection, iron sucrose, 1 mg	10	30	300	$10	$7.2K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	12	60	160	$1	$4.7K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	13	20	50	$20	$3.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	338	500	70	$10	$3.8K
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	6	50	350	$10	$3.6K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Blue Mountain Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Mountain Hospital	UT	Critical Access Hospital Clinic/Center	$0	$567.4K
Steven Hillam	UT	Ophthalmology Physician	$222.9K	$0
Mahana Fisher	UT	Family Medicine Physician	$144.9K	$10.4K
Richard Ward	UT	Physical Therapist	$76.6K	$0
Lloyd Jones	UT	Family Medicine Physician	$39K	$9.4K
Dashelle Holliday	UT	Nurse Practitioner	$37.3K	$0
Trent Bell	UT	Certified Registered Nurse Anesthetist	$24.8K	$0
Alan Ward	UT	Occupational Therapist	$24.4K	$0
Wendell Key	UT	Family Medicine Physician	$11.4K	$2.1K
Wendell Gibby	UT	Diagnostic Radiology Physician	$13K	$0

Nearby Providers

Other providers in the same ZIP code as Blue Mountain Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Juan Mental Health-substance Abuse Special Service District	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.1M
Guardian Flight LLC	UT	Air Ambulance	$470.2K	$3.8M
Utah Navajo Health System, Incorporated	UT	Family Medicine Physician	$0	$2.5M
Acorn Care LLC	UT	In Home Supportive Care Agency	$0	$1.2M
Precision Rehabilitation PC	UT	Physical Therapist	$0	$398.1K
San Juan County Hospital	UT	Rural Health Clinic/Center	$0	$386.2K
San Juan School District	UT	Local Education Agency (LEA)	$0	$361.3K
Joseph Walker	UT	Physician Assistant	$7.2K	$0
Revina Talker	UT	Physician Assistant	$4.8K	$0

Blue Mountain Hospital — Billing Profile & Reimbursement Data

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Blue Mountain Hospital — 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