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    OpenPayerNPI Medicare & MedicaidJordan Valley Medical Center LP
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    Jordan Valley Medical Center LP — Billing Profile & Reimbursement Data

    NPI 1144490160 · West Jordan, UT · Rehabilitation Hospital Unit

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    Jordan Valley Medical Center LP is a rehabilitation hospital unit provider located in West Jordan, Utah. This profile covers 0 Medicare and 109 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJordan Valley Medical Center LP
    Address3580 W 9000 S
    CityWest Jordan
    StateUT
    ZIP84088
    TaxonomyRehabilitation Hospital Unit
    NPI EnumeratedMarch 5, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$9.1M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and $9.1M in lifetime Medicaid revenue, meaning the available claims footprint is effectively single‑payer (Medicaid) in scope. Analysts should treat all utilization and competitive assessments as Medicaid‑centric rather than balanced across payers.

    Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 93.7% of the provider's total Medicaid revenue. Those three codes are 8888888 ($7.2M, 80.3% of Medicaid revenue), 36415 ($1.1M, 11.9%), and 0241U ($137.9K, 1.5%), so a single code dominates the revenue base.

    The code mix suggests a service profile weighted toward high-volume lab/point-of-care procedures and hands-on patient monitoring. 36415 (blood draw) is the second-largest driver with $1.1M in revenue and appears alongside multiple lab, specimen, and diagnostic codes (for example, 88305, 81001, U0002/U0003), and the presence of IV administration codes such as 96374 and 96361 in the top list indicates ongoing infusion or injectable treatments consistent with an active inpatient/ancillary services operation in a rehabilitation hospital unit.

    Despite 8888888 producing the majority of revenue, the provider’s competitive rank on that code is moderate: 8888888 ranks #18 of 57 providers in-state (70th percentile) and is described in the data as 'typical, unremarkable volume' for this code. By contrast, 36415 ranks #18 of 236 providers in-state (93th percentile) and is also labeled 'typical, unremarkable volume', indicating that while blood‑draw volumes are comparatively high among peers, the dataset classifies its statistical standing as within expected bounds. 0241U sits near the median (#36 of 70, 49th percentile) and is likewise described as 'typical, unremarkable volume.'

    Emergency department E/M codes are present but represent only small shares of Medicaid revenue, suggesting ED activity exists but is not the primary revenue driver. For example, 99283 produced $125.7K (1.4% of Medicaid revenue) and 99284 produced $51K (0.6%), while higher‑acuity 99285 contributed $27.3K (0.3%). These figures point to routine ED encounters or transfers that supplement rather than define the facility’s Medicaid business.

    The provider’s NPI was enumerated on 2008-03-05 (~18 years ago), indicating long-standing registration and operational tenure in the market. That longevity supports interpretation of the observed billing pattern as an established operating profile rather than a short-term anomaly.

    Because a single unspecified code (8888888) accounts for $7.2M and 80.3% of Medicaid revenue, the provider’s topline Medicaid performance is highly sensitive to changes in reimbursement, coding guidance, or payer edits affecting that code. From a payer or network‑management perspective, contract or coding adjustments tied to 8888888 would have an outsized impact on overall Medicaid payments to this entity and merit focused contractual or clinical-claims review.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    109 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    8888888N/A26,330$270$7.2M
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.8,380$130$1.1M
    0241UN/A760$180$137.9K
    99283The 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.3,810$30$125.7K
    99284The 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.3,930$10$51K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…940$50$50.7K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.3,610$10$28.8K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc300$100$28.7K
    99285The 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.3,410$10$27.3K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…430$60$25.6K

    Showing 1–10 of 109

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    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    109 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8888888N/A18608,900$400$9.5M
    J3490Unclassified drugs2830150$90$520.6K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…71070$30$407K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.49701,610$30$367.9K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…1520270$40$334.7K
    99285The 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.35160190$70$283.2K
    99284The 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.39190200$50$239.5K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3940770$90$231.9K
    85025A 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…261201,100$30$186.6K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.26504,040$30$186.4K

    Showing 1–10 of 109

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jordan Valley Medical Center LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$15.6M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$7.3M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$5.6M

    Nearby Providers

    Other providers in the same ZIP code as Jordan Valley Medical Center LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Utah Homecare LLCUTHome Health Agency$0$14.9M
    Affinity Behavior And Mental Health Services, LLCUTCommunity/Behavioral Health Agency$0$7.4M
    Wasatch Pediatrics, IncUTPediatrics Physician$0$5.8M
    Family Surgical SuiteUTAmbulatory Surgical Clinic/Center$0$4.8M
    Kids Behavioral Health Of Utah, IncUTEmotionally Disturbed Childrens' Residential Treatment Facility$0$4.1M
    Douglas MehrUTRetina Specialist (Ophthalmology) Physician$2.7M$0
    Christopher GeeUTRetina Specialist (Ophthalmology) Physician$1.9M$0
    Andrew DavisUTRetina Specialist (Ophthalmology) Physician$1.8M$0
    Jordan West Family Counseling IncUTMental Health Clinic/Center (Including Community Mental Health Center)$0$1M
    Valued Medical Care LLCUTUrgent Care Clinic/Center$0$836.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    5 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Jordan Valley Medical Center LP — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah