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.

Granger Medical Specialists LLC (NPI 1376159368)

Granger Medical Specialists LLC is a clinic/center provider located in West Valley City, Utah. This profile covers 0 Medicare and 72 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Granger Medical Specialists LLC
Address	2965 W 3500 S
City	West Valley City
State	UT
ZIP	84119
Taxonomy	Clinic/Center
NPI Enumerated	September 16, 2020

Payer Source	Total Paid
Medicaid	$618K
Medicare	$0

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,380	$60	$140.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,610	$40	$114.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	1,240	$90	$105.7K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	60	$1,530	$85.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	730	$60	$45.9K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	170	$160	$26.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	600	$40	$24K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	180	$50	$8.6K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	110	$70	$8.3K
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	1,140	$10	$6.8K

Showing 1–10 of 72

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

Granger Medical Specialists LLC — 0 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	108	120	1,100	$30	$186.6K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	7	10	60	$1,680	$152.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	127	240	220	$50	$145.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	174	1,340	200	$80	$144K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	154	1,360	190	$70	$125K
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…	48	50	930	$60	$102.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	184	200	240	$90	$85.8K
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…	85	160	250	$50	$76.9K
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.	92	100	2,770	$10	$75.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	145	220	200	$80	$74K

Showing 1–10 of 72

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granger Medical Clinic PC	UT	Multi-Specialty Clinic/Center	$0	$5.1M
Douglas Mehr	UT	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Mary Jane Pennington	UT	Pediatrics Physician	$729.8K	$15K
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0
Douglas Heiner	UT	Procedural Dermatology Physician	$530K	$0
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0
Craig Davis	UT	Interventional Pain Medicine Physician	$272.9K	$0
Michael Hinckley	UT	Dermatology Physician	$249.9K	$0
Stewart Landau	UT	Urology Physician	$243.7K	$0
Ashleigh Byrne	UT	Interventional Pain Medicine Physician	$219K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Community Physicians Group	UT	General Practice Physician	$0	$36M
Unified Fire Authority-salt Lake	UT	Land Ambulance	$920.5K	$14.6M
C.n.s. Corporation	UT	Home Health Agency	$0	$13.6M
West Valley City	UT	Ambulance	$202.1K	$6.2M
Unified Health Services LLC	UT	Community Based Hospice Care Agency	$0	$4.1M
Community Nursing Service	UT	Community Based Hospice Care Agency	$0	$4.1M
Granger Pediatric Dentistry	UT	Dental Clinic/Center	$0	$2.4M
Hans Petersen	UT	Pediatric Dentistry	$0	$1.6M
Standard Optical Co	UT	Optometrist	$0	$1.5M
Community Nursing Service	UT	Home Health Agency	$0	$970.4K

Granger Medical Specialists LLC — Billing Profile & Reimbursement Data

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Granger Medical Specialists LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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