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 1154551919)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services Inc
Address	3741 West 12600 South
City	Riverton
State	UT
ZIP	84065
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 15, 2009

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $15.3M in total Medicaid revenue, so in the available dataset it functions as effectively single‑payer (Medicaid) for revenue. That concentration in a single public program raises sensitivity to Medicaid policy and rate changes and limits use of Medicare-based benchmarks for financial or utilization comparisons.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 86.6% of the provider’s Medicaid revenue, driven overwhelmingly by code 8888888 (80.8% of Medicaid revenue), with 99283 (3.0%) and 85025 (2.9%) the only other codes in the top three. Because 8888888 has no description on file, the facility’s dominant revenue source cannot be fully mapped to a clear service line without additional code metadata.

The mix of billed codes that are described points to an emergency and acute outpatient hospital profile: multiple ED E/M codes (99282–99285 with high claim counts such as 99284 at 9.5K claims and 99283 at 8.9K claims), frequent laboratory testing (85025, 80050), imaging (71046, 70450), and IV/infusion administration codes (96374, 96365). Taken together with high counts on ED E/M codes and procedural infusion codes, this pattern is consistent with an active emergency department and hospital outpatient services model rather than a clinic-only operation.

Competitive standing by code is largely modest to typical within the state: the dominant, but undescribed, code 8888888 ranks #16 of 57 providers in‑state (73rd percentile; labeled "typical, unremarkable volume"), while 99283 ranks #19 of 186 (90th percentile; labeled "typical, unremarkable volume") and 85025 ranks #18 of 121 (86th percentile; labeled "typical, unremarkable volume"). These rankings indicate above‑average activity on several common acute care services but not a statewide dominant position in Medicaid revenue overall.

Per‑claim reimbursement patterns show that the undisclosed code 8888888 is the primary revenue driver on a per‑unit basis (avg paid/claim $437), whereas commonly billed ED E/M and routine diagnostic codes produce much lower unit revenue (for example, 99283 avg paid/claim $49, 99284 $21, 99285 $17, and 85025 $36). This combination — one high‑value, high‑share code plus many lower‑priced, high‑volume services — helps explain how a relatively small set of code types can produce the majority of reported Medicaid revenue.

High volumes of medication administration and injection codes (96374 at 6.3K claims, 96375 at 4.2K claims, 96365 at 1.5K claims, plus frequent drug injections such as J2405 at 6.1K and J2704 at 3.8K) suggest significant on‑site pharmacy and nursing infusion capacity consistent with emergency or short‑stay inpatient treatment. Operationally, that profile implies recurring staffing and supply needs for IV medications, antiemetics, analgesics, and procedural sedation agents used in acute care.

Data limitations should temper interpretation: the single largest revenue line is code 8888888 which has no description, and the absence of any Medicare billing restricts cross‑payer benchmarking and national competitive context. The provider’s NPI enumeration date is 2009-07-15 (~17 years ago), so the entity appears established in the registry, but additional code-level clarification would be needed to fully translate the large revenue concentration into precise service‑line strategy or capacity conclusions.

Medicaid: Complete Services Breakdown

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

137 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	27,190	$440	$11.9M
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.	8,930	$50	$437.5K
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…	11,800	$40	$424.6K
0241U	N/A	2,250	$150	$331K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,260	$50	$281.7K
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.	9,460	$20	$198.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1,940	$50	$105K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	1,730	$50	$84.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,480	$60	$84.5K
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…	1,140	$70	$84.4K

Showing 1–10 of 137

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 — 0 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

137 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	16	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15	30	1,760	$50	$1.6M
J3490	Unclassified drugs	23	30	150	$90	$520.6K
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.	37	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.	31	160	190	$70	$283.2K
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.	27	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…	35	40	770	$90	$231.9K
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…	18	120	1,100	$30	$186.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	15	50	4,040	$30	$186.4K
J0690	Injection, cefazolin sodium, 500 mg	17	30	960	$90	$162.4K

Showing 1–10 of 137

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	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

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
Jordan School District	UT	Local Education Agency (LEA)	$0	$4.9M
Awakening Behavioral Health, LLC	UT	Substance Abuse Rehabilitation Facility	$0	$2.8M
Foundation For Family Life	UT	Professional Counselor	$0	$1.7M
Terry Sorenson	UT	General Practice Dentistry	$0	$1.6M
Michelle Williams	UT	Nurse Practitioner	$1.1M	$0
Foundation For Family Life	UT	Clinical Medical Laboratory	$0	$460.2K
David Johnson	UT	Pediatric Dentistry	$0	$309.9K
Braden Brklacich	UT	Foot & Ankle Surgery Podiatrist	$214.3K	$0
Jana Parker	UT	Dermatology Physician	$134K	$0
Marcellus Assiago	UT	Nephrology Physician	$109.1K	$240

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