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.

American Wellness & Rehab Clinic LLC (NPI 1417234766)

American Wellness & Rehab Clinic LLC is a family medicine physician provider located in Murray, Utah. This profile covers 0 Medicare and 28 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	American Wellness & Rehab Clinic LLC
Address	677 W 5300 S
City	Murray
State	UT
ZIP	84123
Taxonomy	Family Medicine Physician
NPI Enumerated	November 14, 2011

Payer Source	Total Paid
Medicaid	$689.6K
Medicare	$0

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

28 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…	4,310	$70	$279.9K
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…	2,490	$60	$159.5K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	350	$280	$98.2K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	350	$140	$47.7K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	740	$30	$20.8K
95924	In this procedure, the provider jointly tests the parasympathetic and sympathetic functions of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic…	210	$90	$19.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	890	$20	$17.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	650	$20	$11K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	150	$50	$7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	650	$10	$5.9K

Showing 1–10 of 28

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

American Wellness & Rehab Clinic LLC — 1 of 22 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	180	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…	98	1,340	200	$80	$144K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	34	40	1,280	$60	$128.4K
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…	161	1,360	190	$70	$125K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	96	210	590	$50	$77.6K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	3	10	540	$110	$75.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	45	130	440	$40	$50.7K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	1	10	350	$140	$47.9K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	36	40	860	$30	$41.7K
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…	186	270	80	$100	$41.6K

Showing 1–10 of 28

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Eliason	UT	Adult Medicine Physician	$31.1K	$0
Bryan Turner	UT	General Practice Physician	$24.5K	$0
Carol Stowell	UT	Family Nurse Practitioner	$8.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgeway Integrated Healthcare Services Inc	UT	Behavior Analyst	$0	$65.7M
Hopeful Beginnings	UT	Community/Behavioral Health Agency	$0	$9.6M
Kal Medical Supplies Inc.	UT	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Harmony Home Health Services, LLC	UT	Home Health Agency	$0	$6.1M
Jason Horgesheimer	UT	Pediatric Dentistry	$0	$3.9M
Discovery House Tv, Inc.	UT	Methadone Clinic	$59.2K	$3.6M
Integrated Autism Therapies	UT	Behavior Analyst	$0	$1.7M
Wellspring Child And Family Counseling Center, LLC	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.4M
Stephen Miller	UT	Cardiovascular Disease Physician	$1.1M	$4.2K
Eh Hospice Of The West, LLC	UT	Community Based Hospice Care Agency	$0	$753.1K

American Wellness & Rehab Clinic LLC — Billing Profile & Reimbursement Data

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American Wellness & Rehab Clinic 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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