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 1235148594)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services, Inc.
Address	100 N Mario Capecchi Dr
City	Salt Lake City
State	UT
ZIP	84113
Taxonomy	Children's Hospital
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicaid	$129.5M
Medicare	$0

Key Findings

IHC HEALTH SERVICES, INC. has no Medicare billing on file and $129.5M in lifetime Medicaid revenue, meaning the organization is effectively a Medicaid-focused provider with nearly all documented public-payer activity on the Medicaid side. Its NPI was enumerated on 2006-08-05 (~20 years ago), indicating an established presence in the market over two decades.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 86.0% of the provider’s total Medicaid revenue. In particular, 8888888 alone represents $94.2M (80.7% of Medicaid revenue), signaling dependence on a single, very large revenue source.

The code mix points to a large acute-care and diagnostic footprint with substantial emergency-department activity and infusion services. High volumes of ED E/M codes such as 99283 (47K claims, $3.8M, 3.2%) and 99284 (25.1K claims, $1.7M, 1.4%), together with infusion code 96365 (4.5K claims, $2.4M, 2.1%), suggest the provider operates a high-volume pediatric emergency and outpatient infusion/infusion-capable clinic model supported by extensive laboratory and imaging services.

IHC is a dominant state-level performer on several specific codes: 8888888 ranks #2 of 57 providers in-state (98th percentile; extreme outlier) and 99283 ranks #2 of 186 providers in-state (99th percentile; extreme outlier). Additionally, 0241U ranks #1 of 70 providers in-state (100th percentile; extreme outlier). These rank/percentile positions indicate the provider is a major in-state player for the highest-revenue services.

Beyond the largest drivers, the provider shows top-in-state positions across a range of specialized tests and procedures that broaden its clinical footprint. Examples include 0202U (4K claims, $841.9K; ranks #1 of 10, 100th percentile), 95810 (1K claims, $698K; ranks #1 of 14, 100th percentile), J1100 (20.4K claims, $347.1K; ranks #1 of 66, 100th percentile), and 76770 (5.1K claims, $374.7K; ranks #1 of 20, 100th percentile), reflecting notable volume leadership in select lab, sleep, injection, and ultrasound services.

Several codes are explicitly labeled as statistical outliers or notably above typical state volume, which has operational and contracting implications. In addition to 8888888 and 99283 being described as "extreme outlier," other high-ranking codes described as "notably above typical" include 0202U, 95810, and 76770; this pattern creates both negotiating leverage with Medicaid and concentration risk if reimbursement or clinical demand shifts.

Clinical breadth is evident in pediatric specialty services and diagnostics beyond emergency care: echocardiography codes such as 93325 (8.3K claims, $799.8K) and 93306 (2.5K claims, $679.5K), pediatric sleep study codes 95782 (1.1K claims, $653.8K) and 95810 (1K claims, $698K), plus therapy and audiology codes like 97530 (7.3K claims, $516K) and 92507 (7.8K claims, $374.5K) point to multidisciplinary pediatric inpatient/outpatient capabilities. These volumes and revenues align with the provider’s Children’s Hospital taxonomy.

Operationally, claim volume and average paid/claim metrics highlight where revenue is realized: 8888888 has 138.6K claims at $680 avg paid/claim, while high-claim ED codes such as 99283 (47K claims) and 99284 (25.1K claims) demonstrate very large visit volumes that drive throughput and resource needs. The combination of very large claim counts and high average payments on the top code concentrates financial exposure and suggests that monitoring reimbursement changes for these specific codes should be a priority for payers and contracting teams.

Medicaid: Complete Services Breakdown

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

366 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	138,560	$680	$94.2M
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.	46,990	$80	$3.8M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	4,480	$540	$2.4M
0241U	N/A	8,890	$200	$1.8M
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.	25,090	$70	$1.7M
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…	23,760	$70	$1.6M
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	12,010	$90	$1.1M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	3,970	$210	$841.9K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	8,330	$100	$799.8K
82803	The lab analyst performs blood gas analysis to measure at least two of the listed parameters. He typically performs an arterial blood gas analysis, called an ABG, using arterial blood inserted into a…	3,960	$190	$753.2K

Showing 1–10 of 366

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. — 14 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

366 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	2	60	8,900	$400	$9.5M
81229	The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by…	3	10	20	$990	$4.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4	30	1,760	$50	$1.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	20	630	$750	$1.2M
J3490	Unclassified drugs	8	30	150	$90	$520.6K
T1015	Clinic visit/encounter, all-inclusive	31	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.	34	70	1,610	$30	$367.9K
J0585	Injection, onabotulinumtoxina, 1 unit	9	10	200	$470	$355.6K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	1	10	750	$460	$341.8K
C1751	Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)	2	10	90	$30	$328.7K

Showing 1–10 of 366

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
University Of Utah Pediatric Acuity Care	UT	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$7.3M
University Of Utah Pediatric Acuity Care	UT	Neonatal-Perinatal Medicine Physician	$0	$3.3M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$2.4M
University Of Utah Pediatric Services	UT	Pediatric Cardiology Physician	$0	$2.2M
Ihc Health Services Inc	UT	Pediatric Radiology Physician	$0	$2M
Pediatric Anesthesiologists Inc	UT	Anesthesiology Physician	$0	$2M
University Of Utah Pediatric Services	UT	Pediatrics Physician	$0	$1.6M
University Of Utah Pediatric Acuity Care	UT	Pediatric Critical Care Medicine Physician	$0	$1.5M
University Of Utah Pediatric Services	UT	Ophthalmology Physician	$0	$1.3M
University Of Utah Pediatric Services	UT	Child & Adolescent Psychiatry Physician	$0	$1.2M

Ihc Health Services, Inc. — Billing Profile & Reimbursement Data

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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