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.

Ddi Vantage (NPI 1346344454)

Field	Value
Entity Type	Organization
Organization	Ddi Vantage
Address	565 East 4500 South
City	Salt Lake City
State	UT
ZIP	84107
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$18.4M
Medicare	$0

Key Findings

DDI VANTAGE is effectively a single-payer operator: there is no Medicare billing on file, and all reported lifetime public-payor revenue is Medicaid-based with total Medicaid revenue of $18.4M. This concentrated payer mix means the provider’s public revenue exposure and competitive positioning are driven entirely by Medicaid reimbursement and utilization trends.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code, T1024, represents the entirety of reported Medicaid revenue. This indicates near-total dependence on one service line for Medicaid receipts and limited diversification across other billable codes.

T1024 is the dominant operational activity for this provider: the code description (evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter) aligns with the provider taxonomy (Developmentally Disabled Services Day Training Agency), suggesting DDI VANTAGE primarily delivers high-volume, team-based day-training and coordinated-care encounters for developmentally disabled children. The billing profile (40.6K claims at $453 avg paid/claim generating $18.4M revenue) implies a program structured around frequent per-encounter services rather than low-volume, high-intensity procedures.

On in-state competitive standing for T1024, DDI VANTAGE ranks #1 of 19 providers and sits at the 100th percentile, described as an extreme outlier, far above typical state volume for this code. This placement marks the organization as a dominant statewide provider for this specific service, substantially outpacing peers in the same Medicaid code space.

The claims and payment detail for T1024 (40.6K claims and $453 avg paid/claim) indicate both high utilization and consistent per-encounter reimbursement; together these produce the full $18.4M Medicaid revenue. For analysts, the pairing of high claim volume with steady average paid-per-claim suggests operational scale in delivering routine, encounter-based developmental disability services rather than episodic or acute care episodes.

Concentration of revenue in one code and one payer creates material operational and financial sensitivity: changes in Medicaid policy for T1024 reimbursement, eligibility, or contract scope could materially affect DDI VANTAGE’s revenue given that top codes account for 100.0% of Medicaid revenue. Analysts should treat reimbursement-policy shifts, managed-care contracting changes, or state-level utilization reviews for T1024 as high-impact risk factors.

Tenure and market presence are established: the provider’s NPI was enumerated on 2006-09-11 (~20 years ago), indicating long-term operation in the market. Combined with the provider’s dominant ranking on T1024, the duration of enumeration supports a sustained, focused operational model serving developmentally disabled populations in Utah.

For competitive benchmarking and due-diligence, DDI VANTAGE should be evaluated primarily on program capacity, contract relationships that generate T1024 volume, and operational controls around encounter documentation and care coordination. Given the provider’s extreme positional dominance in T1024 within the state, peer comparisons should focus on how other high-volume T1024 providers structure care delivery, payments-per-claim, and service authorization arrangements rather than on Medicare-based metrics, which are not applicable here.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	40,600	$450	$18.4M

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

Ddi Vantage — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	1	20	6,200	$460	$3.4M

Nearby Providers

Other providers in the same ZIP code as Ddi Vantage, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$18.6M
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Home Caregivers Partnership, LLC	UT	Home Health Agency	$0	$10.4M
Gcs Foundation	UT	Supports Brokerage Agency	$0	$6.2M
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$6.1M
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Project Reality	UT	Mental Health Counselor	$0	$5.1M
Caregiver Support Network, Inc	UT	Home Health Agency	$0	$5M

Ddi Vantage — Billing Profile & Reimbursement Data

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Ddi Vantage — Billing Profile & Reimbursement Data

Sign up for Ddi Vantage — 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