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.

Northern Utah Healthcare Corporation (NPI 1164469243)

Field	Value
Entity Type	Organization
Organization	Northern Utah Healthcare Corporation
Address	1200 E 3900 S
City	Salt Lake City
State	UT
ZIP	84124
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$35.7M
Medicare	$0

Key Findings

NORTHERN UTAH HEALTHCARE CORPORATION appears to operate primarily as a hospital-based acute care and emergency services provider for Medicaid beneficiaries, with strong volume in infusion and ED-related services; the top three Medicaid codes (8888888, 96361, 99283) together account for 80.5% of the provider’s total Medicaid revenue. This concentration indicates a service mix dominated by high-volume drug administration or infusion-related encounters plus emergency department evaluation-and-management visits rather than broad outpatient or elective procedural lines.

Revenue concentration is extreme: one single code, 8888888, generates $23.8M and 69.9% of the provider’s $35.7M Medicaid revenue, making this a highly concentrated payer relationship where a single service line drives the majority of reimbursement. The preeminence of 8888888 suggests the hospital’s financial health on Medicaid is heavily dependent on whatever clinical activity or testing that code represents.

The provider has no Medicare billing on file, so its publicly available payer mix is effectively single-payer (Medicaid-only) at the Medicare/Medicaid level; Total Medicare revenue: none (no Medicare billing on file) contrasted with Total Medicaid revenue: $35.7M shows a lack of Medicare participation or reporting that materially shapes competitive positioning and network negotiation leverage. Analysts should treat this entity as Medicaid-centric when modeling reimbursement risk and access patterns.

NORTHERN UTAH ranks as a state-level volume leader for several Medicaid codes: 8888888 is #4 of 57 providers in-state (95th percentile), 96361 is #3 of 46 providers (96th percentile), and 99283 is #3 of 186 providers (99th percentile, labeled an extreme outlier). These ranks indicate the hospital is a dominant in-state provider for infusion/IV fluid administration and certain ED visit levels, often performing at volumes notably or extremely above typical state peers.

Detailed code-level mix supports an ED and acute-treatment operational profile: high volumes of emergency visit codes 99283, 99284, 99282, and 99281 alongside large counts for IV infusion codes 96361 and 96360 and CMP/BMP lab panels (80053, 80048) indicate frequent ED presentations requiring IV fluids, lab work, and imaging. This pattern is consistent with an emergency-focused acute-care hospital that delivers repeated infusion and diagnostic services to Medicaid patients.

Several specific codes are statistical outliers or notably above typical state volume and point to specialized or high-throughput capabilities: 99283 and 99282 are described as extreme outliers (99th–100th percentile for their respective code populations), and 96361 and 96360 are notably above typical state volume (96th and 94th percentiles). These labels imply unusually high throughput for ED-level care and IV therapy relative to in-state peers, which could reflect regional referral patterns, service specialization, or admission triage practices.

The provider’s NPI was enumerated on 2006-05-31 (~20 years ago), indicating long tenure in the market; this longevity, combined with the high state rankings for multiple codes, suggests established referral relationships and an entrenched operational role in the local safety-net and acute-care ecosystem. Analysts should consider historical stability when benchmarking performance.

Beyond the dominant top codes, a diverse set of ancillary diagnostic and imaging services (e.g., 80053, 80048, 70450, 71046, G0480, U0002) contribute smaller shares of revenue but reinforce the view of a full-service hospital outpatient/ED workflow: labs, CT head, chest X-rays, definitive drug testing, and COVID testing are present at volumes that are often notably above typical state peers or at least unremarkable but consistent with high ED throughput.

Medicaid: Complete Services Breakdown

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

240 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	77,910	$310	$23.8M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	16,200	$130	$2.1M
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.	34,180	$40	$1.5M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	37,600	$30	$1.1M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	4,650	$210	$972.1K
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.	39,600	$20	$910.7K
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…	8,140	$60	$504.4K
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.	8,750	$40	$376.4K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	4,050	$80	$319.6K
99281	The provider sees a patient for the lowest level emergency department visit.	3,030	$100	$296.5K

Showing 1–10 of 240

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

Northern Utah Healthcare Corporation — 9 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

240 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	4	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8	30	1,760	$50	$1.6M
J3490	Unclassified drugs	13	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.	13	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.	18	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.	6	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…	4	40	770	$90	$231.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	5	10	280	$350	$218.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5	50	4,040	$30	$186.4K
J0690	Injection, cefazolin sodium, 500 mg	11	30	960	$90	$162.4K

Showing 1–10 of 240

Nearby Providers

Other providers in the same ZIP code as Northern Utah Healthcare Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nomi Health Inc.	UT	Clinical Medical Laboratory	$108.9K	$9.1M
Valley Mental Health Incorporated	UT	Physical Disabilities Residential Treatment Facility	$0	$5M
Valleylab	UT	Clinical Medical Laboratory	$0	$2.7M
Utah Healthcare Institute Inc	UT	Family Medicine Physician	$0	$1.9M
Valley Mental Health Incorporated	UT	Home Health Registered Nurse	$0	$1.3M
Creek Capital East Gate LLC	UT	Pediatric Dentistry	$0	$570.9K
Wasatch Endoscopy Center Ltd	UT	Ambulatory Surgical Clinic/Center	$486.9K	$62.1K
St Marks Ambulatory Surgery Associates LP	UT	Ambulatory Surgical Clinic/Center	$512.1K	$0
Adult Care Clinic Inc	UT	Acute Care Nurse Practitioner	$0	$474.8K
James Shortridge	UT	Hematology & Oncology Physician	$221.4K	$177.5K

Northern Utah Healthcare Corporation — 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

Nearby Providers

Frequently Asked Questions

References