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 1194749580)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services Inc
Address	4401 Harrison Blvd
City	Ogden
State	UT
ZIP	84403
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicaid	$54.1M
Medicare	$0

Key Findings

IHC HEALTH SERVICES INC is effectively single-payer at the Medicare/Medicaid level: there is no Medicare billing on file while lifetime Medicaid revenue totals $54.1M, indicating the provider’s public-reimbursement footprint is concentrated entirely in Medicaid. This makes Medicaid the sole documented federal payer revenue source in the dataset and shifts competitive and operational analysis to state-level dynamics.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes (8888888, 85025, 96374) account for 82.7% of the provider’s total Medicaid revenue. In particular, code 8888888 alone generates $36.1M (75.5% of this provider's total Medicaid revenue), creating a single-code revenue dependency that dominates the provider’s Medicaid receipts.

The code mix implies an operational profile centered on high-volume emergency, laboratory, and infusion services. High claim volumes for emergency E/M codes—99284 (33.6K claims, $906.4K revenue), 99283 (26.6K claims, $1.1M revenue), and 99285 (18.3K claims, $712.6K revenue)—alongside large laboratory volumes like 85025 (55.8K claims, $2.1M revenue) and multiple injection/infusion codes (96374 23.8K claims, $1.4M revenue; 96372 7K claims, $766.7K revenue) point to a busy hospital emergency department with substantial ancillary lab and IV medication administration activity.

Competitive standing within Utah is strong for several high-volume codes: 85025 ranks #4 of 121 in-state (98th percentile; notably above typical state volume for this code), 96374 ranks #4 of 48 (94th percentile; notably above typical state volume for this code), and 8888888 ranks #6 of 57 (91th percentile; notably above typical state volume for this code). These rankings indicate IHC is a leading in-state provider for core laboratory and infusion/ED-related services, often appearing in the top decile for volume.

Beyond the top three revenue drivers, the provider demonstrates breadth across diagnostics and imaging services, supporting a full-service hospital model rather than a narrow ambulatory clinic. Examples include echocardiography 93306 (2.7K claims, $494.6K revenue; 84th percentile), PET myocardial imaging 78431 (440 claims, $305.8K revenue; 86th percentile), and lumbar MRI 72148 (1.8K claims, $221.6K revenue; 94th percentile), each contributing material revenue and showing above-typical state presence.

Emergency department and outpatient clinic throughput is reinforced by supplemental codes and clinic visit volume: G0463 (10.9K claims, $206.5K revenue) and multiple ED E/M codes (99282–99285) all sit at high state percentiles, which together suggest sustained patient flow through both ED and hospital outpatient settings rather than isolated episodic services. This mix supports staffing and capital investment profiles consistent with an urban or regional acute-care hospital.

Multiple individual codes are flagged as “notably above typical state volume” across the claims list, which marks the provider as a state-level outlier on utilization for core services rather than an average-volume peer. In addition to 85025 and 96374, the provider shows notably above-typical state volume for codes such as 99283, 99284, 99282, 96375, and 71046, indicating a pattern of systematically higher service volumes across labs, ED care, and common ED medications.

The provider’s NPI enumeration date of 2006-07-27 (~20 years ago) indicates an established tenure in the market; combined with the Medicaid-only revenue profile and the concentration in a few high-volume codes, this suggests a long-standing operational focus on state-covered acute care and associated diagnostics/infusions rather than a diversified payer mix. Analysts should treat Medicaid performance as the primary lens for competitive benchmarking and risk assessment.

Medicaid: Complete Services Breakdown

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

314 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	77,550	$470	$36.1M
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…	55,830	$40	$2.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	23,840	$60	$1.4M
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.	26,610	$40	$1.1M
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.	33,570	$30	$906.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	6,970	$110	$766.7K
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.	18,270	$40	$712.6K
0241U	N/A	5,000	$120	$579.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,690	$180	$494.6K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	600	$570	$337.9K

Showing 1–10 of 314

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 — 10 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

314 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	6	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	30	1,760	$50	$1.6M
J3490	Unclassified drugs	7	30	150	$90	$520.6K
T1015	Clinic visit/encounter, all-inclusive	52	70	270	$110	$376.1K
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.	11	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.	7	160	190	$70	$283.2K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	5	10	60	$740	$253.1K
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.	8	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…	6	40	770	$90	$231.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	3	10	280	$350	$218.2K

Showing 1–10 of 314

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
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

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
Ivy Lane Pediatrics, LLC	UT	Home Health Agency	$0	$37M
Ogden Clinic PC	UT	Family Medicine Physician	$0	$8.3M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$5.1M
Utah Hematology Oncology PC	UT	Hematology & Oncology Physician	$0	$4.6M
Mt Ogden Utah Surgical Center LLC	UT	Ambulatory Surgical Clinic/Center	$1.2M	$1.3M
South Ogden Operations, LLC	UT	Assisted Living Facility	$0	$2.4M
Lisa Leishman	UT	Ophthalmology Physician	$1.6M	$419.9K
Sutton Clinical Services LLC	UT	Mental Health Counselor	$0	$1.8M
Ogden Clinic Specialty Services LLC	UT	Sports Medicine (Family Medicine) Physician	$0	$1.7M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$1.6M

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