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.

Advance Medical Services, Inc (NPI 1164519856)

Field	Value
Entity Type	Organization
Organization	Advance Medical Services, Inc
Address	1268 S 1380 W
City	Orem
State	UT
ZIP	84058
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1161	Manual adult size wheelchair, includes tilt in space	730	$360	$265K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	6,940	$30	$222.1K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	2,120	$100	$217.9K
A4554	Disposable underpads, all sizes	2,520	$70	$171.6K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1,400	$90	$118.7K
A4927	Gloves, non-sterile, per 100	3,300	$30	$112K
E0601	Continuous positive airway pressure (CPAP) device	5,120	$20	$107.6K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	1,410	$80	$107.2K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	4,170	$20	$75K
A7030	Full face mask used with positive airway pressure device, each	1,770	$30	$51.3K

Showing 1–10 of 38

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

Advance Medical Services, Inc — 4 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2029	Specialized medical equipment, not otherwise specified, waiver	4	10	260	$70	$650.3K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	15	50	2,950	$50	$530.1K
A4554	Disposable underpads, all sizes	6	10	1,800	$40	$344.2K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	4	10	1,760	$120	$308.9K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	4	10	1,830	$100	$270.4K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	4	10	1,250	$90	$238.9K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	5	10	620	$120	$178.1K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	14	40	2,020	$30	$168.5K
E1161	Manual adult size wheelchair, includes tilt in space	1	10	390	$430	$168.1K
A4927	Gloves, non-sterile, per 100	7	20	2,920	$20	$145K

Showing 1–10 of 38

Nearby Providers

Other providers in the same ZIP code as Advance Medical Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Retirement, Inc.	UT	Assisted Living Facility	$0	$3.9M
Discovery House Uc, Inc	UT	Methadone Clinic	$0	$2.8M
Wasatch Behavioral Health Special Service District	UT	Clinical Medical Laboratory	$0	$1.2M
Shruti Sanghvi	UT	Rheumatology Physician	$642.5K	$6.5K
Wilson Senior Solutions, Inc.	UT	In Home Supportive Care Agency	$0	$476.9K
Sandhill Operations LLC	UT	Substance Abuse Rehabilitation Facility	$0	$369.1K
Kimball Taylor	UT	Physical Therapist	$127.1K	$0
Eric Freeman	UT	Interventional Pain Medicine Physician	$108.8K	$9.1K
Bryan Hoelzer	UT	Interventional Pain Medicine Physician	$106.2K	$7.6K
Scott Peterson	UT	Family Medicine Physician	$66.2K	$6.5K

Advance Medical Services, Inc — Billing Profile & Reimbursement Data

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Advance Medical Services, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References