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.

Confederated Tribes Of The Goshute Reservation (NPI 1265892012)

Key Findings

Field	Value
Entity Type	Organization
Organization	Confederated Tribes Of The Goshute Reservation
Address	660 S 200 E Ste 250
City	Salt Lake City
State	UT
ZIP	84111
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	March 7, 2016

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION is effectively a Medicaid-only billing entity with no Medicare revenue on file; its lifetime Medicaid revenue totals $15.1M, indicating the organization’s lab operations are funded primarily through state Medicaid rather than the Medicare program. The provider’s NPI has been enumerated since 2016-03-07 (~10 years ago), so this Medicaid-focused pattern has been established over a multi-year operating tenure.

Revenue concentration is high: the top three Medicaid codes by revenue together account for 54.6% of the provider’s total Medicaid revenue. That level of concentration suggests the lab’s financial performance is driven by a narrow set of high-volume/high-value services rather than a broad mix of many small tests.

Service-line implications from the top codes indicate this operation functions primarily as a high-volume clinical laboratory with a particular emphasis on definitive and presumptive drug testing and vitamin D testing. The highest-revenue code is G0480 (definitive drug testing) which generated $5M (33.8% of Medicaid revenue) across 10.1K claims, followed by 82306 (vitamin D) at $1.6M and 80307 (presumptive instrumented drug screen) at $1.5M; together these suggest routine toxicology and common chemistry testing are core service lines.

Competitive standing in-state is mixed but generally strong for several high-impact tests. The provider ranks #3 of 42 for G0480 (95th percentile) and #5 of 48 for 82306 (91st percentile), indicating it is among the leading Medicaid lab providers in Utah for definitive drug testing and vitamin D assays. For 80307 it ranks #12 of 74 (85th percentile), which reflects a solid but less dominant position for instrumented presumptive screens.

Certain individual codes show above-typical statewide volume: 80305 ranks #4 of 107 (97th percentile) and is explicitly labeled “notably above typical state volume,” indicating the provider performs a large quantity of non-instrumented presumptive drug tests relative to peers. Similarly, 84436 ranks #1 of 6 (100th percentile) and is described as “notably above typical state volume,” making this provider the top reported performer in-state for that specific thyroxine (T4) test. These flagged labels point to real outlier behavior in a few discrete panels.

Operational footprint is lab-centric and specimen-processing intensive: high claim counts for specimen-collection and routine assays reinforce that the provider handles both phlebotomy and downstream analytic work. Examples include 36415 (11.1K claims, $1.1M revenue) and 99000 specimen prep/transport (608 claims, $93.6K revenue), which together imply consistent sample throughput and logistics activity supporting the core testing volumes.

Payer mix observation: because Medicare revenue is listed as none and Medicaid totals $15.1M, the entity is effectively single-payer from a Medicare/Medicaid perspective in these records; strategic or operational exposure is therefore concentrated on Medicaid program rules, contracts, and reimbursement levels. This dependence increases sensitivity to state Medicaid policy and competitive dynamics among in-state labs.

Across many routine chemistry and monitoring tests the provider ranks in high percentiles, demonstrating broad competency beyond toxicology—examples include 83036 (A1C) at the 98th percentile, 84443 (TSH) at the 95th percentile, and 80061 (lipid panel) at the 96th percentile. These placements indicate the lab is a top-tier in-state performer for chronic disease monitoring panels commonly ordered in primary and specialty care.

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	10,120	$490	$5M
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	4,480	$360	$1.6M
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.	9,610	$150	$1.5M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	11,130	$100	$1.1M
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	9,240	$100	$878K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	5,470	$150	$830.7K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	6,220	$80	$503.7K
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…	2,790	$170	$472K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	940	$340	$323.8K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	1,730	$190	$322.6K

Showing 1–10 of 50

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

Confederated Tribes Of The Goshute Reservation — 5 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	12	70	1,610	$30	$367.9K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3	40	770	$90	$231.9K
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…	47	120	1,100	$30	$186.6K
0241U	N/A	56	70	770	$130	$162.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	13	240	220	$50	$145.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	30	70	340	$50	$117.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	24	100	2,770	$10	$75.1K
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…	17	50	1,150	$10	$52.1K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	5	50	240	$30	$48.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	36	50	330	$20	$40.2K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Odyssey House Inc	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$84.5M
Confederated Tribes Of The Goshute Reservation	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
Confederated Tribes Of The Goshute Reservation	UT	Clinic/Center	$0	$6.4M
Confederated Tribes Of The Goshute Reservation	UT	Dental Clinic/Center	$0	$4.5M
Children's Center	UT	Mental Health Counselor	$0	$4M
Board Of Education Salt Lake City Schools	UT	Local Education Agency (LEA)	$0	$3.3M
Tranquility Place Of Utah LLC	UT	Substance Use Disorder Rehabilitation Clinic/Center	$96.9K	$2.7M
Ma Bo Inc	UT	Family Medicine Physician	$0	$971.2K
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$795.4K
Charles L Diviney Iii Mc Lpc Ncc LLC	UT	Professional Counselor	$0	$751.3K

Confederated Tribes Of The Goshute Reservation — Billing Profile & Reimbursement Data

Sign up for Confederated Tribes Of The Goshute Reservation — Billing Profile & Reimbursement Data policy alerts

Confederated Tribes Of The Goshute Reservation — Billing Profile & Reimbursement Data

Sign up for Confederated Tribes Of The Goshute Reservation — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References