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.

Mountainstar Cardiology St Marks LLC (NPI 1437446168)

Field	Value
Entity Type	Organization
Organization	Mountainstar Cardiology St Marks LLC
Address	1160 E 3900 S
City	Salt Lake City
State	UT
ZIP	84124
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	July 1, 2011

Payer Source	Total Paid
Medicaid	$380.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 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…	3,470	$50	$166.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,300	$30	$73.4K
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…	360	$80	$29.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	470	$60	$28.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	570	$40	$20.9K
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…	580	$40	$20.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,810	$1	$15.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	150	$70	$11K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	690	$10	$4.1K
93296	The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…	300	$10	$3.9K

Showing 1–10 of 18

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

Mountainstar Cardiology St Marks LLC — 0 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	121	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…	395	1,360	190	$70	$125K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	73	90	460	$50	$115K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	11	50	340	$80	$114K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	85	200	240	$90	$85.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	42	90	140	$90	$56K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	14	20	330	$30	$53.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	31	100	200	$30	$53.5K
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…	64	270	80	$100	$41.6K
99203	The provider sees a new 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 provider…	262	290	100	$70	$37.1K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mountainstar Cardiology St Marks LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sean Lawless	UT	Cardiovascular Disease Physician	$401.4K	$0
Richard Bennett	UT	Internal Medicine Physician	$320.7K	$0
Scott Hacking	UT	Interventional Cardiology Physician	$282K	$0
Faraz Luni	UT	Clinical Cardiac Electrophysiology Physician	$273.8K	$0
Vamsee Yaganti	UT	Interventional Cardiology Physician	$249.2K	$0
John Day	UT	Clinical Cardiac Electrophysiology Physician	$229.1K	$170
Nischala Nannapaneni	UT	Clinical Cardiac Electrophysiology Physician	$201.4K	$0
Charles Dahl	UT	Cardiovascular Disease Physician	$195.9K	$1.8K
Kenneth Nielson	UT	Cardiovascular Disease Physician	$185.1K	$0
Poorna Nalabothu	UT	Advanced Heart Failure and Transplant Cardiology Physician	$182K	$0

Nearby Providers

Other providers in the same ZIP code as Mountainstar Cardiology St Marks LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Utah Healthcare Corporation	UT	General Acute Care Hospital	$0	$35.7M
Nomi Health Inc.	UT	Clinical Medical Laboratory	$108.9K	$9.1M
Valley Mental Health Incorporated	UT	Physical Disabilities Residential Treatment Facility	$0	$5M
Valleylab	UT	Clinical Medical Laboratory	$0	$2.7M
Utah Healthcare Institute Inc	UT	Family Medicine Physician	$0	$1.9M
Valley Mental Health Incorporated	UT	Home Health Registered Nurse	$0	$1.3M
Creek Capital East Gate LLC	UT	Pediatric Dentistry	$0	$570.9K
Wasatch Endoscopy Center Ltd	UT	Ambulatory Surgical Clinic/Center	$486.9K	$62.1K
St Marks Ambulatory Surgery Associates LP	UT	Ambulatory Surgical Clinic/Center	$512.1K	$0
Adult Care Clinic Inc	UT	Acute Care Nurse Practitioner	$0	$474.8K

Mountainstar Cardiology St Marks LLC — Billing Profile & Reimbursement Data

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Mountainstar Cardiology St Marks 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

Related Providers

Nearby Providers

Frequently Asked Questions

References