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.

Davis School District (NPI 1427265313)

Field	Value
Entity Type	Organization
Organization	Davis School District
Address	45 E State St
City	Farmington
State	UT
ZIP	84025
Taxonomy	Audiologist
NPI Enumerated	May 17, 2007

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively single‑payer in the available claims data: Total Medicare revenue is none, while Total Medicaid revenue is $7.9M. The absence of Medicare activity indicates the provider’s billing footprint in this dataset is concentrated entirely in Medicaid programs rather than split across payers.

Revenue is extremely concentrated in a single bundled school‑service code: T1018 (School‑based individualized education program (iep) services, bundled) accounts for $7.5M and 94.8% of the provider’s Medicaid revenue, and the Precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. That concentration means the district’s Medicaid finances are driven almost entirely by IEP‑related bundled payments rather than a diversified set of fee‑for‑service lines.

The code-level mix and taxonomy point to a school‑based audiology and allied‑services operation: the provider is an Audiologist in a school district and the leading code is T1018 (school‑based IEP services); supporting codes include T1002 (Rn services, up to 15 minutes) with $412K revenue and many therapy/assessment codes billed in high volume. This pattern is consistent with integrated special‑education and school health delivery rather than a traditional outpatient clinic revenue profile.

Competitive standing on the dominant Medicaid code is middle‑of‑the‑state: T1018 ranks #12 of 33 providers in‑state (66th percentile; typical, unremarkable volume for this code), indicating Davis School District is a meaningful but not dominant state participant on the single highest‑value school‑based Medicaid line. The 66th percentile rank suggests higher-than‑median activity on this bundled IEP code but not an outlier statewide.

Smaller Medicaid revenue comes from a nurse‑service line: T1002 (Rn services, up to 15 minutes) generated $412K across 292 claims ($1411 avg paid/claim) and represents 5.2% of Medicaid revenue, but ranks #14 of 15 providers in‑state (7th percentile; typical, unremarkable volume for this code). That low statewide percentile indicates this RN line is not a major statewide presence despite being the second revenue contributor for this provider.

Several frequently billed clinical CPTs show high claim counts but $0 average paid/claim in the dataset and therefore do not contribute to reported Medicaid revenue: examples include 92507 (5K claims, $0 avg paid/claim, $0 revenue; ranks #8 of 67 in‑state, 89th percentile), 92508 (4.6K claims, $0 avg paid/claim, $0 revenue), and 97110 (1.7K claims, $0 avg paid/claim, $0 revenue). These zero‑paid averages alongside large claim volumes are consistent with services that may be bundled under school IEP billing (T1018) rather than paid separately in the claims extract.

Operational tenure is long and supports a stable presence in school health billing: the NPI was enumerated on 2007-05-17 (~19 years ago), indicating nearly two decades of enrollment that align with an established district service model. That extended enumeration window reduces uncertainty about whether activity represents a new entrant versus a long‑standing school provider.

From a payer‑risk and business‑strategy standpoint, heavy dependence on a single bundled code creates concentration risk: with T1018 representing 94.8% of Medicaid revenue and the top 3 codes totaling 100.0%, any policy, reimbursement, or programmatic change to school‑based IEP reimbursement would materially affect the provider’s Medicaid revenue. Analysts should treat Medicaid as the de facto sole revenue stream in this dataset and focus competitive or financial comparisons on IEP/bundled school‑service reimbursement dynamics.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1018	School-based individualized education program (iep) services, bundled	30,030	$250	$7.5M
T1002	Rn services, up to 15 minutes	290	$1,410	$412K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	5,000	$0	$0
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	4,560	$0	$0
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	1,670	$0	$0
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	500	$0	$0
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…	1,660	$0	$0
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	150	$0	$0
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,180	$0	$0

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

Davis School District — 0 of 2 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1018	School-based individualized education program (iep) services, bundled	12	30	13,980	$30	$2.2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	25	30	6,130	$110	$1.1M
T1002	Rn services, up to 15 minutes	14	20	1,900	$90	$731.7K
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…	57	210	590	$50	$77.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	8	70	1,030	$10	$27.1K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	10	20	1,110	$1	$3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	13	30	150	$1	$530
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	6	10	510	$1	$90
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	10	30	1,150	$1	$10

Nearby Providers

Other providers in the same ZIP code as Davis School District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Imaging Associates Inc	UT	Diagnostic Radiology Physician	$0	$2.3M
John Anderson	UT	Pediatric Dentistry	$0	$813.3K
Farmington City Corp	UT	Land Ambulance	$52.6K	$509.4K
Andrew Coles	UT	Interventional Pain Medicine Physician	$389.6K	$120.9K
Raymond Durham	UT	Dentist	$0	$432.5K
Christopher Kim	UT	Cardiovascular Disease Physician	$427.8K	$0
Roja Mulamalla	UT	Cardiovascular Disease Physician	$257.7K	$0
Daniel Humiston	UT	Cardiovascular Disease Physician	$243.9K	$0
Lauren Zollinger	UT	Diagnostic Radiology Physician	$196.9K	$0
Chad Mcbride	UT	Cardiovascular Disease Physician	$185.3K	$0

Davis School District — Billing Profile & Reimbursement Data

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Davis School District — 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

Nearby Providers

Frequently Asked Questions

References