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.

Mountainstar Medical Group- Cache Valley, LLC (NPI 1144475674)

Field	Value
Entity Type	Organization
Organization	Mountainstar Medical Group- Cache Valley, LLC
Address	382 W 280 N
City	Providence
State	UT
ZIP	84332
Taxonomy	Family Medicine Physician
NPI Enumerated	November 25, 2008

Payer Source	Total Paid
Medicaid	$330.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,230	$50	$228.4K
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…	1,500	$70	$99.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10	$110	$1.5K
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…	90	$10	$720
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	190	$1	$570
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	120	$1	$120
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	10	$0	$0

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

Mountainstar Medical Group- Cache Valley, LLC — 0 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	151	240	220	$50	$145.2K
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…	241	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…	107	1,360	190	$70	$125K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	122	150	60	$70	$32.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	257	610	140	$10	$13.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	299	320	140	$1	$5K
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…	217	500	70	$10	$3.8K

Nearby Providers

Other providers in the same ZIP code as Mountainstar Medical Group- Cache Valley, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abc Pediatric Dentistry, PC	UT	Pediatric Dentistry	$0	$2.8M
Spring Creek Surgical Center, LLC	UT	Ambulatory Surgical Clinic/Center	$14.4K	$1.7M
Kurt Vest	UT	Pediatric Dentistry	$0	$1.4M
Sleepy Smiles LLC	UT	Certified Registered Nurse Anesthetist	$0	$1.2M
Brandon Nakken	UT	Pediatric Dentistry	$0	$949.9K
Clear Recovery Of Cache Valley	UT	Community/Behavioral Health Agency	$0	$672.8K
Interwest Anesthesia Associates LLC	UT	Anesthesiology Physician	$0	$565.6K
Stanton Allen	UT	Pediatric Dentistry	$0	$442.6K
Cory Maughan	UT	MOHS-Micrographic Surgery Physician	$303.1K	$0
Daniel Huff	UT	Foot & Ankle Surgery Podiatrist	$178.9K	$0

Mountainstar Medical Group- Cache Valley, LLC — Billing Profile & Reimbursement Data

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Mountainstar Medical Group- Cache Valley, LLC — Billing Profile & Reimbursement Data

Sign up for Mountainstar Medical Group- Cache Valley, LLC — 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