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.

Innovation Medical Group PC (NPI 1235526682)

Innovation Medical Group PC is a podiatrist provider located in Salt Lake City, Utah. This profile covers 0 Medicare and 54 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Innovation Medical Group PC
Address	6405 S 3000 E Ste 300
City	Salt Lake City
State	UT
ZIP	84121
Taxonomy	Podiatrist
NPI Enumerated	April 23, 2015

Payer Source	Total Paid
Medicaid	$741.2K
Medicare	$0

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	8,990	$60	$494.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	940	$90	$87.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	710	$70	$50.7K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	910	$20	$15.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	330	$40	$12K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	80	$140	$11.6K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	1,820	$10	$10.9K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	30	$310	$9.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	890	$10	$8K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	40	$170	$6.2K

Showing 1–10 of 54

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

Innovation Medical Group PC — 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

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	2	10	2,540	$150	$378.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	64	240	220	$50	$145.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	340	1,340	200	$80	$144K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	46	1,360	190	$70	$125K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	12	10	230	$80	$89K
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…	122	160	250	$50	$76.9K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	21	40	340	$90	$55.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	177	270	80	$100	$41.6K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	5	10	500	$20	$38.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	46	290	100	$70	$37.1K

Showing 1–10 of 54

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacqueline Walker	NV	Nurse Practitioner	$3.4M	$0
Nicholas Hugentobler	CO	Foot & Ankle Surgery Podiatrist	$1.9M	$0
Douglas Toole	UT	Foot & Ankle Surgery Podiatrist	$1.6M	$0
Michelle Williams	UT	Nurse Practitioner	$1.1M	$0
Shawn Isaeff	UT	Vascular & Interventional Radiology Physician	$668K	$0
Christopher Warner	CO	Vascular & Interventional Radiology Physician	$448.8K	$0
Sloane Sterling	UT	Physician Assistant	$303.1K	$0
Howard Sill	MD	Vascular & Interventional Radiology Physician	$216.3K	$170
Sandra Lane	UT	Nurse Practitioner	$166.2K	$0
Hu Ding	UT	Anatomic Pathology & Clinical Pathology Physician	$147.3K	$20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Evolve Emod LLC	UT	Home Modifications Contractor	$0	$23.9M
Mountain Land Rehabilitation LLC	UT	Physical Therapist	$0	$4M
Rosewood Assisted Care Inc	UT	Assisted Living Facility	$0	$3.2M
Bristol Hospice - Utah Ii, L.L.C.	UT	Community Based Hospice Care Agency	$0	$2.6M
Journey Treatment Center	UT	Substance Abuse Rehabilitation Facility	$0	$1.9M
Big Smiles Utah P.C.	UT	Dentist	$0	$1.3M
J Q Medical Supply, LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Transport Connection, Inc	UT	Private Vehicle	$0	$806.7K
Utah Gastroenterology LLC	UT	Gastroenterology Physician	$0	$613.8K
Spencer Clark	UT	Physical Therapist	$494K	$13.7K

Innovation Medical Group PC — Billing Profile & Reimbursement Data

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Innovation Medical Group PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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