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    OpenPayerNPI Medicare & MedicaidJordan Valley Medical Center LP
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    Jordan Valley Medical Center LP — Billing Profile & Reimbursement Data

    NPI 1366440620 · West Valley City, UT · General Acute Care Hospital

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    Jordan Valley Medical Center LP is a general acute care hospital provider located in West Valley City, Utah. This profile covers 0 Medicare and 154 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
    OrganizationJordan Valley Medical Center LP
    Address3460 Pioneer Pkwy
    CityWest Valley City
    StateUT
    ZIP84120
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJuly 11, 2005

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

    Payer SourceTotal Paid
    Medicaid$15.6M
    Medicare$0

    Key Findings

    This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total reported Medicaid revenue is $15.6M. The absence of Medicare volume means national Medicare peer comparisons are not available and the provider’s financial footprint in these datasets is concentrated entirely in Medicaid activity.

    Medicaid revenue is highly concentrated in a very small set of codes: the precomputed top-3 codes account for 91.6% of the provider’s total Medicaid revenue. The single largest contributor is code 8888888 ($11.6M, 76.3% of Medicaid revenue), followed by 36415 ($1.9M, 12.6%) and 99283 ($404.1K, 2.7%); this level of concentration indicates that a small number of service lines drive the majority of billing.

    Code 8888888 is the dominant revenue driver by a wide margin (46.2K claims, $252 avg paid/claim, $11.6M revenue) but has no description available in the file; this makes it difficult to determine which specific clinical service or bundled payment it represents, and that ambiguity materially limits interpretability of the provider’s core business mix.

    Operationally the provider shows clear hospital-based footprints: 36415 (blood collection) has 18.1K claims ($106 avg paid/claim, $1.9M revenue) and multiple ED evaluation-and-management codes appear at scale (99283: 9.2K claims, $44 avg, $404.1K revenue; 99284: 9.9K claims, $14 avg, $139.1K; 99285: 7.3K claims, $8 avg, $58K). Together these patterns are consistent with an acute-care facility that performs high-volume phlebotomy/lab specimen collection and substantial emergency department throughput.

    Several diagnostic and lab codes further support a full-service hospital profile: imaging and laboratory procedures appear throughout the top codes (70450 CT head, 74177 CT abdomen/pelvis, 87635 SARS–COV–2 NAAT, 87631 multiplex respiratory panel), indicating ongoing reliance on in-house diagnostics and imaging to support the ED and outpatient activity captured in Medicaid billing. Reported claim volumes and paid-per-claim levels show many services are high-volume but low Medicaid reimbursement per encounter.

    State-level competitive standing is mixed by service. For the largest code 8888888 the provider ranks #9 of 57 in-state (86th percentile) and the dataset labels this as typical, unremarkable volume; for 36415 the provider ranks #8 of 236 (97th percentile) and is likewise labeled typical, suggesting a strong in-state presence for phlebotomy but not an exceptional statistical outlier in the dataset’s terms. Conversely, urinalysis code 81003 is a clear local outlier: 3.6K claims, $12 avg paid/claim, $42.8K revenue and it ranks #5 of 105 providers in-state (96th percentile) with the dataset calling it notably above typical state volume.

    The Medicaid claim-level economics show a pattern of high encounter counts with modest paid-per-claim amounts across many ED and infusion/injection codes (examples include 96374: 8.2K claims, $6 avg paid/claim; 96375: 6.6K claims, $3 avg paid/claim). This mix—large volumes combined with low per-claim Medicaid reimbursements—suggests operations that rely on throughput and ancillary testing rather than high-margin procedures to generate revenue.

    The facility has an established presence in administrative records, with an NPI enumeration date of 2005-07-11 (~21 years ago), signaling long tenure in the market; given the concentration of Medicaid revenue and the heavy weight of the undocumented code 8888888, further investigation into contract, coding, or service-line definitions is warranted for analysts evaluating revenue sustainability and competitive positioning.

    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.

    154 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    8888888N/A46,190$250$11.6M
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.18,110$110$1.9M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.9,190$40$404.1K
    0241UN/A1,720$190$318.9K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.9,940$10$139.1K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.1,300$70$84.6K
    96372A 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…2,330$30$74.5K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.2,000$30$61.9K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…2,340$30$60.8K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.7,260$10$58K

    Showing 1–10 of 154

    • More pages

    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

    154 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8888888N/A9608,900$400$9.5M
    J3490Unclassified drugs1530150$90$520.6K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…61070$30$407K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.25701,610$30$367.9K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…2020270$40$334.7K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.19160190$70$283.2K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.23190200$50$239.5K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3440770$90$231.9K
    85025A 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…171201,100$30$186.6K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.14504,040$30$186.4K

    Showing 1–10 of 154

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jordan Valley Medical Center LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$23.6M
    Davis Hospital & Medical Center LPUTGeneral Acute Care Hospital$0$22.5M
    Marian Health Center-smhcIAGeneral Acute Care Hospital$0$15.5M
    Salt Lake Regional Medical Center LPUTGeneral Acute Care Hospital$0$9.8M
    Jordan Valley Medical Center LPUTRehabilitation Hospital Unit$0$9.1M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$8.9M
    Catholic Health Initiatives ColoradoCORural Health Clinic/Center$0$8.3M
    Catholic Health Iniatives ColoradoCOGeneral Acute Care Hospital$0$7.5M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$7.3M

    Nearby Providers

    Other providers in the same ZIP code as Jordan Valley Medical Center LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Valley Behavioral Health IncorporatedUTMental Health Clinic/Center (Including Community Mental Health Center)$0$293.3M
    Foundations LcUTMental Illness Community Based Residential Treatment Facility$0$2.8M
    Tyler ReadingUTPediatric Dentistry$0$2.1M
    Dentistry For Children West Valley PCUTDental Clinic/Center$0$1.9M
    Kadin WilsonUTPediatric Dentistry$0$1.7M
    Ari HobfollUTPediatric Dentistry$0$1.3M
    Community Health Centers, Inc.UTFederally Qualified Health Center (FQHC)$0$890.8K
    Wasatch Front Surgery Center LLCUTAmbulatory Surgical Clinic/Center$414.9K$1.9K
    Valley Medical Equipment IncUTDurable Medical Equipment & Medical Supplies$0$365.6K
    Timothy GrangeUTPhysical Medicine & Rehabilitation Physician$61.2K$200K

    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
    5 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Jordan Valley Medical Center LP — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah