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.

Utah Navajo Health System, Incorporated (NPI 1174956007)

Field	Value
Entity Type	Organization
Organization	Utah Navajo Health System, Incorporated
Address	1478 East Highway 162
City	Montezuma Creek
State	UT
ZIP	84534
Taxonomy	Non-emergency Medical Transport (VAN)
NPI Enumerated	August 14, 2013

Payer Source	Total Paid
Medicaid	$15.7M
Medicare	$0

Key Findings

UTA H NAVAJO HEALTH SYSTEM, INCORPORATED’s billing profile is concentrated in non-emergency medical transportation, consistent with its VAN taxonomy; Medicaid code A0100 (Non-emergency transportation; taxi) accounts for $15.7M of reported Medicaid revenue, reported across 35.7K claims at $439 avg paid/claim. This combination of taxonomy and the A0100 code description indicates the provider’s primary business activity is taxi-style non-emergency patient transport rather than clinical or facility-based services.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and the single listed code A0100 represents 100.0% of the $15.7M total. That degree of concentration signals the organization derives essentially all Medicaid billings from a single service line, amplifying sensitivity to any reimbursement changes to that code.

The provider has no Medicare billing on file and $15.7M in Medicaid revenue, making its effective payer mix single-payer (Medicaid) in the available data. Analysts should treat comparisons and risk assessments accordingly, since there is no Medicare activity to offset state Medicaid exposure.

On competitive standing for its top code, A0100 is ranked #2 of 3 providers in-state and placed at the 50th percentile, described in the source as "typical, unremarkable volume for this code." This means the provider is a modest, middle-ranked participant statewide for taxi non-emergency transport rather than a dominant operator.

Operational scale is reflected in the 35.7K A0100 claims and the $439 avg paid/claim; those figures imply significant trip volume at a reimbursement level consistent with billed taxi transports. Given the claim count and the statewide rank, the organization operates at a steady, moderate scale for this service within Utah’s Medicaid market.

The provider’s NPI was enumerated on 2013-08-14 (~13 years ago), indicating over a decade of recorded enrollment activity. That tenure supports the interpretation that the current Medicaid transport activity is an established operational line rather than a very recent entry.

From a risk and diversification perspective, relying entirely on A0100 for 100.0% of Medicaid revenue concentrates financial performance on one code and one payer; policy changes, rate adjustments, or shifts in managed Medicaid arrangements for non-emergency taxi transport could materially affect revenues. Analysts should prioritize monitoring reimbursement trends and state-level program changes that impact A0100.

Statistically, the provider’s activity in A0100 is characterized in the source as "typical, unremarkable volume for this code," which aligns with its midrank (50th percentile) in-state. There are no flagged outlier signals in the available data for Medicare or Medicaid billing patterns, but the lack of Medicare data means cross-payer diversification cannot be evaluated.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0100	Non-emergency transportation; taxi	35,690	$440	$15.7M

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

Utah Navajo Health System, Incorporated — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0100	Non-emergency transportation; taxi	2	10	35,690	$10	$8.6M

Nearby Providers

Other providers in the same ZIP code as Utah Navajo Health System, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Navajo Health System, Incorporated	UT	Federally Qualified Health Center (FQHC)	$0	$55.1M
Jesse Moses	UT	Physician Assistant	$9.9K	$0
Alan Wygant	UT	Family Nurse Practitioner	$2.6K	$0

Utah Navajo Health System, Incorporated — Billing Profile & Reimbursement Data

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Utah Navajo Health System, Incorporated — Billing Profile & Reimbursement Data

Sign up for Utah Navajo Health System, Incorporated — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References