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 Adult Services (NPI 1265836068)

Field	Value
Entity Type	Organization
Organization	University Of Utah Adult Services
Address	50 N Medical Dr
City	Salt Lake City
State	UT
ZIP	84132
Taxonomy	Anesthesiology Physician
NPI Enumerated	October 22, 2014

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	2,790	$460	$1.3M
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	2,100	$120	$258.2K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	370	$490	$182.1K
01961	The provider performs anesthesia services for a cesarean delivery.	380	$420	$160K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	830	$170	$143.9K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	340	$380	$132.1K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	730	$170	$121.2K
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	340	$270	$91.1K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	200	$460	$88.7K
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	950	$90	$81.3K

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.

Claims Volume vs. Utah Distribution

University Of Utah Adult Services — 3 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	16	40	270	$290	$381.5K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	2	20	100	$370	$296K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	3	10	660	$270	$295.7K
01961	The provider performs anesthesia services for a cesarean delivery.	2	10	380	$300	$201.3K
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	2	10	290	$600	$174.1K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	3	10	200	$300	$168.4K
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	1	10	1,130	$120	$139K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	3	10	330	$260	$137.8K
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…	52	90	460	$50	$115K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	54	50	280	$140	$109.3K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
University Of Utah Adult Services	UT	Emergency Medicine Physician	$0	$6.9M
University Of Utah Adult Services	UT	Diagnostic Radiology Physician	$0	$4M
University Of Utah Adult Services	UT	Internal Medicine Physician	$0	$3.5M
University Of Utah Adult Services	UT	Ophthalmology Physician	$0	$3.1M
Christopher Komanski	NC	Ophthalmology Physician	$2.3M	$0
Cecinio Ronquillo	CO	Ophthalmology Physician	$2.1M	$0
Peggy Chan	NY	Nuclear Medicine Physician	$1.7M	$56.8K
James Bell	WI	Ophthalmology Physician	$1.4M	$0
John Foley	UT	Neurology Physician	$789.8K	$608K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah	UT	General Acute Care Hospital	$0	$221.3M
University Of Utah Pediatric Services	UT	Pediatrics Physician	$0	$3.1M
Dermatology Division University Of Utah Medical Center	UT	Dermatology Physician	$0	$1.4M
University Of Utah Specialty Services	UT	Maternal & Fetal Medicine Physician	$0	$1.4M
University Of Utah Adult Services	UT	Cardiovascular Disease Physician	$0	$1.2M
University Of Utah Specialty Services	UT	Physical Medicine & Rehabilitation Physician	$0	$1.1M
University Of Utah Adult Services	UT	Anatomic Pathology & Clinical Pathology Physician	$0	$1.1M
University Of Utah Adult Services	UT	Gastroenterology Physician	$0	$1.1M
University Of Utah Acuity Care Services	UT	Critical Care Medicine (Internal Medicine) Physician	$0	$1M
University Of Utah Adult Services	UT	Neurology Physician	$0	$1M

University Of Utah Adult Services — Billing Profile & Reimbursement Data

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University Of Utah Adult 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