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.

University Of Utah Behavioral Health Services (NPI 1225492358)

Field	Value
Entity Type	Organization
Organization	University Of Utah Behavioral Health Services
Address	501 S Chipeta Way
City	Salt Lake City
State	UT
ZIP	84108
Taxonomy	Psychiatry Physician
NPI Enumerated	April 5, 2016

Payer Source	Total Paid
Medicaid	$428.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,590	$40	$202K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,110	$120	$128.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,600	$30	$65.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	390	$60	$23.7K
99418	The provider spends additional time on an inpatient or observation evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	280	$30	$8.6K

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

University Of Utah Behavioral Health Services — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	8	50	90	$190	$136.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	90	460	$50	$115K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	15	100	200	$30	$53.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	17	50	180	$50	$37.6K
99418	The provider spends additional time on an inpatient or observation evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	5	10	200	$50	$23.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Utah Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$1.3M
Jennifer Griswold	UT	Psychiatric/Mental Health Nurse Practitioner	$64.9K	$0
Robert Frost	NM	Prescribing (Medical) Psychologist	$52.8K	$0
Heather Jones	UT	Clinical Social Worker	$40.7K	$0
Daniela Solzbacher	UT	Psychiatry Physician	$31.3K	$0
Michael Voss	IL	Psychiatry Physician	$21.2K	$0
Lindsay Embree	CA	Clinical Neuropsychologist	$20.8K	$0
Katherine Frichette	SC	Psychiatric/Mental Health Nurse Practitioner	$20.5K	$0
Sara Callister	UT	Family Nurse Practitioner	$19.1K	$0
Matthew Checketts	UT	Clinical Social Worker	$16.9K	$0

Nearby Providers

Other providers in the same ZIP code as University Of Utah Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah	UT	General Acute Care Hospital	$0	$23.1M
Associated Regional And University Pathologists Inc	UT	Clinical Medical Laboratory	$1.6M	$8.1M
University Of Utah Dental Services	UT	Dental Clinic/Center	$0	$4.6M
University Of Utah	UT	Psychiatric Hospital	$0	$2.1M
Crescendo Bioscience, Inc	UT	Clinical Medical Laboratory	$0	$1.8M
Kolff Dialysis Center University Of Utah	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
University Of Utah Adult Services	UT	Orthopaedic Surgery Physician	$0	$1.1M
Kevin Croft	UT	Dental Anesthesiology	$0	$362.6K
Brandon Lawrence	UT	Orthopaedic Surgery Physician	$219.6K	$0
Mazdak Khalighi	UT	Anatomic Pathology Physician	$159.3K	$0

University Of Utah Behavioral Health Services — Billing Profile & Reimbursement Data

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University Of Utah Behavioral Health Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References