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.

Ihc Health Services, Inc. (NPI 1366452880)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services, Inc.
Address	1380 E Medical Center Dr
City	St George
State	UT
ZIP	84790
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$65.8M
Medicare	$0

Key Findings

IHC HEALTH SERVICES, INC. is effectively a single-payer Medicaid facility: there is no Medicare billing on file while lifetime Medicaid revenue is $65.8M, and the provider’s NPI was enumerated on 2006-08-08 (~20 years ago), indicating an established presence in the market. The absence of Medicare activity makes its operations and financial exposure heavily tied to Medicaid reimbursement and utilization patterns.

Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 82.8% of the provider’s total Medicaid revenue, and a single, unlabeled code 8888888 alone represents $45.2M (76.8% of total Medicaid revenue) from 77.8K claims at $581 avg paid/claim. This concentration implies most of the provider’s Medicaid dollars are driven by one dominant service line or billing element, creating both operational focus and revenue risk if that code’s utilization or reimbursement changes.

The provider’s billed procedures and volumes are consistent with a busy acute care hospital and high emergency-department activity: high-volume E/M ED codes appear among top payers (99284: 30.1K claims, $1.8M revenue; 99283: 22.1K claims, $1.4M revenue; 99285: 13.7K claims, $1.0M revenue) alongside large volumes of lab and imaging (85025: 62.7K claims, $1.8M revenue; 74177: 7K claims, $778.4K revenue). Together these code patterns point to an operation centered on emergency care, on-site diagnostic testing, and imaging rather than elective outpatient specialty procedures.

In several Medicaid categories IHC ranks well above peers statewide, signaling local competitive strength: 85025 ranks #3 of 121 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code), 99283 ranks #7 of 186 (97th percentile; notably above typical state volume), and 99284 ranks #9 of 192 (96th percentile; notably above typical state volume). The unlabeled high-revenue code 8888888 ranks #5 of 57 providers in-state (93th percentile; notably above typical state volume for this code), reinforcing that the provider is a major in-state participant for its top-revenue services.

Beyond ED and lab volumes, IHC shows substantial use of infusion/injection services and outpatient clinic activity: 96372 (4.6K claims, $1.6M revenue; ranks #13 of 164, 93th percentile), 96374 (24.6K claims, $1.1M revenue; ranks #3 of 48, 96th percentile), and 96365 (6.9K claims, $235K revenue; ranks #3 of 43, 95th percentile). These numbers indicate routine administration of parenteral therapies and frequent short-duration infusions or injections as part of clinical workflows, consistent with hospital-based emergency and observation care.

Diagnostic and specialty imaging/lab services are material revenue contributors and competitive differentiators: CT abdomen/pelvis with contrast 74177 brings $778.4K (ranks #9 of 80, 90th percentile), PET myocardial imaging 78431 yields $323.4K (ranks #3 of 8, 71th percentile), and comprehensive lab panels (80050 and 80053) together show elevated volumes (80050: 7.9K claims, $627.3K, ranks #2 of 51, 98th percentile; 80053: 57.7K claims, $173.2K, ranks #2 of 104, 99th percentile). These high-ranking diagnostics support the characterization of the facility as a local hub for acute diagnostics.

The combination of long tenure (~20 years) and concentrated Medicaid revenue creates a mixed strategic profile: the provider appears well-established and operationally mature, but with a heavy dependence on a single unlabeled code (8888888) and a small group of high-volume services that together produce 82.8% of Medicaid revenue. For payers and network analysts, that concentration signals both negotiation leverage around core services and a potential vulnerability if utilization patterns shift or if the large, unlabeled code’s billing logic changes.

Several top codes are explicitly labeled as “notably above typical” or “extreme outlier” within the state, which frames the provider’s statistical standing without implying cause: 85025 is an extreme outlier (98th percentile), and multiple ED, lab, and testing codes (for example, 99284, 99283, 96374, 80050, 80053) are described as notably above typical state volume (percentiles in the mid-90s). These labels indicate the provider is a dominant in-state resource for emergency visits, lab testing, and certain outpatient services, and they should guide payer reviews focused on utilization patterns and capacity planning.

Medicaid: Complete Services Breakdown

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

360 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	77,750	$580	$45.2M
99284	The 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.	30,070	$60	$1.8M
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…	62,740	$30	$1.8M
96372	A 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…	4,560	$340	$1.6M
99283	The 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.	22,070	$60	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	24,580	$40	$1.1M
99285	The 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.	13,720	$70	$1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7,010	$110	$778.4K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	7,940	$80	$627.3K
0241U	N/A	4,010	$100	$389.4K

Showing 1–10 of 360

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

Ihc Health Services, Inc. — 10 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

360 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	5	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6	30	1,760	$50	$1.6M
J3490	Unclassified drugs	10	30	150	$90	$520.6K
T1015	Clinic visit/encounter, all-inclusive	40	70	270	$110	$376.1K
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.	16	70	1,610	$30	$367.9K
99285	The 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.	10	160	190	$70	$283.2K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	3	10	60	$740	$253.1K
99284	The 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	190	200	$50	$239.5K
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…	11	40	770	$90	$231.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	2	10	280	$350	$218.2K

Showing 1–10 of 360

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ihc Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as Ihc Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Utah Community Health Center	UT	Federally Qualified Health Center (FQHC)	$0	$7.3M
Zion Eye Institute, Inc	UT	Ambulatory Surgical Clinic/Center	$6.1M	$19.7K
Summit Behavior Services	UT	Counselor	$0	$5.4M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$4.4M
Ron Lord	UT	Ophthalmology Physician	$3.2M	$0
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
St George Surgical Center LP	UT	Ambulatory Surgical Clinic/Center	$2.5M	$0
Coral Desert Surgery Center LLC	UT	Ambulatory Surgical Clinic/Center	$2.5M	$17.8K
Ihc Health Services Inc	UT	Clinical Medical Laboratory	$2.4M	$42.7K
Jerry D Twiggs Md PC	UT	Pediatric Adolescent Medicine Physician	$0	$2.2M

Ihc Health Services, Inc. — Billing Profile & Reimbursement Data

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Ihc Health Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References