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.

Omega Interventional Pain PLLC (NPI 1417253907)

Field	Value
Entity Type	Organization
Organization	Omega Interventional Pain PLLC
Address	3838 S 700 E
City	Salt Lake City
State	UT
ZIP	84106
Taxonomy	Pain Medicine Physician
NPI Enumerated	February 1, 2011

Payer Source	Total Paid
Medicaid	$667.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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…	10,690	$50	$481.2K
G0482	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…	1,110	$50	$59.8K
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.	1,060	$60	$59.1K
G0481	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…	680	$70	$45.1K
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…	560	$30	$16.7K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	40	$80	$3.3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	660	$1	$1.3K
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…	50	$30	$1.1K

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

Omega Interventional Pain PLLC — 1 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0481	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…	7	20	660	$60	$625K
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.	44	70	1,610	$30	$367.9K
G0482	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…	3	10	480	$110	$189.3K
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…	33	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…	412	1,360	190	$70	$125K
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…	162	270	80	$100	$41.6K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	9	50	80	$20	$13.6K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	2	10	30	$90	$6.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Omega Interventional Pain PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Pulley	TX	Interventional Pain Medicine Physician	$202.5K	$137.8K
Jeremy Joyal	UT	Pain Medicine (Anesthesiology) Physician	$179.5K	$3.4K
Scott Hadfield	UT	Surgical Physician Assistant	$52K	$17.5K
Tracy Holley	UT	Surgical Physician Assistant	$40.9K	$18K
Corey Dahl	UT	Physician Assistant	$19.1K	$18.2K

Nearby Providers

Other providers in the same ZIP code as Omega Interventional Pain PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seventh Street Treatment Center	UT	Substance Abuse Rehabilitation Facility	$0	$7.4M
Touchstone Therapy Center Inc.	UT	Community/Behavioral Health Agency	$0	$4.7M
One- Eighty Out LLC	UT	Community/Behavioral Health Agency	$0	$4.4M
Utah Cancer Specialists PC	UT	Medical Oncology Physician	$0	$4.2M
Apex Behavior Consulting LLC	UT	Behavior Analyst	$0	$2.5M
Ryan Leybas	UT	Clinical Social Worker	$28.7K	$1.2M
Brian Randle	UT	Dentist	$0	$1.1M
Access Private Duty, LLC	UT	In Home Supportive Care Agency	$0	$533K
Utnv East Millcreek, LLC	UT	Assisted Living Facility	$0	$528.9K
Xylina Gregg	UT	Medical Oncology Physician	$412.9K	$0

Omega Interventional Pain PLLC — Billing Profile & Reimbursement Data

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Omega Interventional Pain PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References