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    OpenPayerNPI Medicare & MedicaidUtah Hematology Oncology PC
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    Utah Hematology Oncology PC — Billing Profile & Reimbursement Data

    NPI 1427273705 · Ogden, UT · Hematology & Oncology Physician

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    Utah Hematology Oncology PC is a hematology & oncology physician provider located in Ogden, Utah. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationUtah Hematology Oncology PC
    Address4403 Harrison Blvd Ste 1685
    CityOgden
    StateUT
    ZIP84403
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 13, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…3,090$1,040$3.2M
    85025A 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…3,820$300$1.1M
    80053The 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.320$410$132.6K
    96372A 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…350$220$75.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…750$60$48.3K
    96365The 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.240$100$23.2K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…450$20$7.2K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…50$10$560
    96523The provider irrigates, or flushes, a venous access device used to administer drugs to the patient.10$20$220
    J1750Injection, iron dextran, 50 mg20$10$220

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    85025A 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…391201,100$30$186.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.167240220$50$145.2K
    99214The 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…1331,340200$80$144K
    96365The 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.31401,280$60$128.4K
    J1100Injection, dexamethasone sodium phosphate, 1 mg3770410$50$93.9K
    J2469Injection, palonosetron hcl, 25 mcg610350$210$83.3K
    96372A 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…73160250$50$76.9K
    80053The 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.751002,770$10$75.1K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…920750$50$74.4K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…43501,150$10$52.1K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Utah Hematology Oncology PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carl GrayUTHematology & Oncology Physician$3.9M$1.7M
    Kelly MikesellUTMedical Physician Assistant$358.6K$0
    Kylie MoneyUTPhysician Assistant$235K$0
    Lynn LarsenUTNurse Practitioner$203K$0
    Jan DavisUTAcute Care Nurse Practitioner$179K$0

    Nearby Providers

    Other providers in the same ZIP code as Utah Hematology Oncology PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services IncUTGeneral Acute Care Hospital$0$54.1M
    Ivy Lane Pediatrics, LLCUTHome Health Agency$0$37M
    Ogden Clinic PCUTFamily Medicine Physician$0$8.3M
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$5.1M
    Mt Ogden Utah Surgical Center LLCUTAmbulatory Surgical Clinic/Center$1.2M$1.3M
    South Ogden Operations, LLCUTAssisted Living Facility$0$2.4M
    Lisa LeishmanUTOphthalmology Physician$1.6M$419.9K
    Sutton Clinical Services LLCUTMental Health Counselor$0$1.8M
    Ogden Clinic Specialty Services LLCUTSports Medicine (Family Medicine) Physician$0$1.7M
    Alpine Home Medical Equipment LLCUTOxygen Equipment & Supplies (DME)$0$1.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    2 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Utah Hematology Oncology PC — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah