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    OpenPayerNPI Medicare & MedicaidShriners Hospitals For Children
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    Shriners Hospitals For Children — Billing Profile & Reimbursement Data

    NPI 1255461075 · Salt Lake City, UT · Children's Hospital

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    Shriners Hospitals For Children is a children's hospital provider located in Salt Lake City, Utah. This profile covers 0 Medicare and 32 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationShriners Hospitals For Children
    Address1275 Fairfax Rd
    CitySalt Lake City
    StateUT
    ZIP84103
    TaxonomyChildren's Hospital
    NPI EnumeratedMarch 7, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$605.5K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3490Unclassified drugs1,510$260$392.1K
    72082In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…1,230$40$50.4K
    77073The provider images the lower extremity from hips to ankle to measure the difference in the length of the legs.1,410$30$43.8K
    72170In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.1,140$40$40.9K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.340$30$11.4K
    99214The 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…1,550$10$10.8K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…830$10$10.8K
    G0463Hospital outpatient clinic visit for assessment and management of a patient3,070$1$9.2K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.840$10$5.9K
    29450The provider gently stretches the foot and applies a temporary cast in the ongoing treatment of clubfoot deformity, generally a congenital condition, but also the result of childhood polio.…70$80$5.8K

    Showing 1–10 of 32

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8888888N/A52608,900$400$9.5M
    G0463Hospital outpatient clinic visit for assessment and management of a patient9301,760$50$1.6M
    J3490Unclassified drugs430150$90$520.6K
    J0690Injection, cefazolin sodium, 500 mg2630960$90$162.4K
    99214The 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…2351,340200$80$144K
    J0131Injection, acetaminophen, not otherwise specified,10 mg61030$380$140.2K
    J2704Injection, propofol, 10 mg33401,950$40$132.3K
    99213The 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…8071,360190$70$125K
    J1100Injection, dexamethasone sodium phosphate, 1 mg4170410$50$93.9K
    J2405Injection, ondansetron hydrochloride, per 1 mg45503,010$10$88.4K

    Showing 1–10 of 32

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Shriners Hospitals For Children, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shriners Hospitals For ChildrenWAChildren's Hospital$0$6.1M
    Shriners Hospitals For ChildrenSCChildren's Hospital$0$4.3M
    Shriners Hospitals For ChildrenORChildren's Hospital$0$3.9M
    Shriners Hospitals For ChildrenHIChildren's Hospital$0$2.8M
    Peggy LiaoHIOphthalmology Physician$3.3K$968K
    John VanaalstKYPlastic and Reconstructive Surgery Physician$672K$0
    Ryan NunleyMOAdult Reconstructive Orthopaedic Surgery Physician$469.2K$0
    Robert TychsenMOOphthalmology Physician$8.6K$455.1K
    Steven WilhelmWADiagnostic Radiology Physician$439.1K$0
    Mohammadali MojarradMADiagnostic Radiology Physician$343.4K$40.3K

    Nearby Providers

    Other providers in the same ZIP code as Shriners Hospitals For Children, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr John Foley LLCUTNeurology Physician$0$3.9M
    Ihc Health Services IncUTRehabilitation Clinic/Center$0$2.5M
    Diana BanksUTNeurology Physician$1.6M$0
    John FoleyUTNeurology Physician$789.8K$608K
    April ErwinUTNeurology Physician$1.2M$0
    Ihc Health Services IncUTPsychiatry Physician$0$830.1K
    Timothy WestUTNeurology Physician$664.5K$0
    Viktoria KaplanUTNeurology Physician$517.8K$0
    Daniel PreeceUTFoot & Ankle Surgery Podiatrist$267.1K$0
    Avenues Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$236K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Shriners Hospitals For Children — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah