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 1417460205)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services, Inc.
Address	201 W Layton Pkwy
City	Layton
State	UT
ZIP	84041
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 15, 2017

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Key Findings

IHC HEALTH SERVICES, INC. is effectively a single-payer Medicaid billing entity: there is no Medicare billing on file while total Medicaid revenue is $11.6M, so all observable public payer activity for this provider comes through Medicaid rather than Medicare. This makes Medicaid-derived utilization and rates the primary driver of any payer-negotiation or network-value analysis for this facility.

Revenue concentration in Medicaid is extremely high: the precomputed top 3 Medicaid codes account for 90.6% of the provider’s total Medicaid revenue, indicating that a very small set of services dominates the financial picture. This level of concentration suggests the provider’s operational and revenue risk is closely tied to reimbursement and volume trends for those top codes.

One code, 8888888, overwhelmingly dominates Medicaid revenue with $9.7M reported (85.3% of the provider’s Medicaid revenue) across 20.6K claims at an average paid/claim of $472. This makes 8888888 the single primary revenue driver, positioning the provider as a high-volume but not unusually high-ranked operator for this code statewide (ranks #20 of 57, 66th percentile), indicating typical in-state market share rather than dominance.

The provider’s remaining top Medicaid services are largely ED-related and routine lab/infusion services: 85025 (CBC tests) and 96374 (IV push administration) appear among top codes, and together with common ED E/M codes (99282–99285 range appears in the list) the mix suggests a general acute care hospital functioning with a heavy emergency department throughput and associated lab and infusion work. That service-line mix aligns with the facility taxonomy (General Acute Care Hospital).

Competitive standing by code shows consistent, broadly typical volume within Utah: most listed codes sit in mid-to-high percentiles but not at the top (examples: 85025 at 84th percentile, 99283 at 86th percentile, 99284 at 84th percentile). These percentiles indicate the provider is a typical to solid regional performer across common ED, lab, and infusion codes but not a statewide outlier or market leader for those services.

Specific code-level rate and utilization signals: several high-claim codes have low average paid/claim values (for example, 99284 $10 avg paid/claim across 7.3K claims, 99285 $8 avg paid/claim across 3.6K claims), which implies revenue is driven by volume rather than high unit pricing for many emergency services. Analysts should account for Medicaid fee schedule levels and service mix when modeling per-encounter margins for the ED and associated diagnostics.

Tenure: the provider’s NPI was enumerated on 2017-11-15 (~9 years ago), indicating nearly a decade of enrollment in federal provider directories. That tenure supports interpreting the claims profile as established practice-level behavior rather than startup volatility.

No Medicare CPT/HCPCS activity is present for this NPI, so any comparisons to national Medicare peer performance are not possible for this entity; benchmarking should therefore focus on in-state Medicaid peers and on Medicaid rate sensitivity for the dominant codes.

Medicaid: Complete Services Breakdown

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

110 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	20,600	$470	$9.7M
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…	10,960	$30	$339.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,170	$40	$259.1K
0241U	N/A	1,990	$100	$196.5K
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.	6,320	$30	$189.5K
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…	1,200	$70	$86.2K
99282	The 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.	1,670	$50	$76.6K
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.	7,340	$10	$73.4K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	4,350	$10	$56.6K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	1,000	$40	$36.1K

Showing 1–10 of 110

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. — 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

110 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	20	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	19	30	1,760	$50	$1.6M
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.	38	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.	34	160	190	$70	$283.2K
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.	31	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…	25	40	770	$90	$231.9K
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…	20	120	1,100	$30	$186.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	16	50	4,040	$30	$186.4K
J0690	Injection, cefazolin sodium, 500 mg	18	30	960	$90	$162.4K
0241U	N/A	13	70	770	$130	$162.4K

Showing 1–10 of 110

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
Ihc Health Services, Inc.	UT	Children's Hospital	$0	$129.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$54.1M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$25.3M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M

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
Davis Behavioral Health Inc	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$70.8M
Davis Hospital & Medical Center LP	UT	General Acute Care Hospital	$0	$22.5M
Tanner Memorial Clinic	UT	Internal Medicine Physician	$0	$8.1M
Layton City Corporation	UT	Land Ambulance	$377.7K	$4.7M
Hillfield Pediatric & Family Dentistry Inc.	UT	General Practice Dentistry	$0	$3.1M
Catalyst Behavior Solutions	UT	Community/Behavioral Health Agency	$0	$2.8M
Silver Lake Healthcare, Inc.	UT	Community Based Hospice Care Agency	$0	$2.4M
Scott Folkman	UT	Pediatric Dentistry	$0	$2M
Discovery House Lt, Inc.	UT	Methadone Clinic	$76.3K	$1.8M
Silver Lake Healthcare, Inc.	UT	Home Health Agency	$0	$1.6M

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