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.

Utah Navajo Health System, Incorporated (NPI 1457489486)

Utah Navajo Health System, Incorporated is a family medicine physician provider located in Blanding, Utah. This profile covers 0 Medicare and 36 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Utah Navajo Health System, Incorporated
Address	910 S 300 W
City	Blanding
State	UT
ZIP	84511
Taxonomy	Family Medicine Physician
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,220	$610	$1.3M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	700	$670	$466.9K
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…	450	$620	$280.6K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	170	$550	$95.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	160	$590	$90.8K
90656	This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.	130	$370	$46K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	60	$700	$43.8K
V2020	Frames, purchases	540	$60	$34.6K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	40	$500	$21.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	370	$50	$20.2K

Showing 1–10 of 36

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

Utah Navajo Health System, Incorporated — 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	81	120	1,100	$30	$186.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	94	240	220	$50	$145.2K
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…	497	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…	177	1,360	190	$70	$125K
80053	The 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.	80	100	2,770	$10	$75.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	148	220	200	$80	$74K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	11	30	60	$100	$65K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	26	160	120	$100	$55.5K
V2020	Frames, purchases	22	80	180	$50	$36.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	59	170	80	$100	$35.2K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Navajo Health System, Incorporated	UT	Federally Qualified Health Center (FQHC)	$0	$55.1M
Utah Navajo Health System, Incorporated	UT	Family Medicine Physician	$0	$1.8M
Hanhngan Nguyen-tran	UT	General Practice Dentistry	$0	$656.9K
Manish Pandya	NM	Nephrology Physician	$227.3K	$470
Mahana Fisher	UT	Family Medicine Physician	$144.9K	$10.4K
Janelle Stewart	CO	Physician Assistant	$138.5K	$0
Anwar Tandar	UT	Interventional Cardiology Physician	$99.8K	$0
John Ryan	UT	Cardiovascular Disease Physician	$87.4K	$0
Richard Ward	UT	Physical Therapist	$76.6K	$0
Arlan Henrie	UT	Physical Medicine & Rehabilitation Physician	$76.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Juan Mental Health-substance Abuse Special Service District	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.1M
Guardian Flight LLC	UT	Air Ambulance	$470.2K	$3.8M
Blue Mountain Hospital	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Acorn Care LLC	UT	In Home Supportive Care Agency	$0	$1.2M
Blue Mountain Hospital	UT	Critical Access Hospital Clinic/Center	$0	$567.4K
Precision Rehabilitation PC	UT	Physical Therapist	$0	$398.1K
San Juan County Hospital	UT	Rural Health Clinic/Center	$0	$386.2K
San Juan School District	UT	Local Education Agency (LEA)	$0	$361.3K
Lloyd Jones	UT	Family Medicine Physician	$39K	$9.4K
Dashelle Holliday	UT	Nurse Practitioner	$37.3K	$0

Utah Navajo Health System, Incorporated — Billing Profile & Reimbursement Data

Sign up for Utah Navajo Health System, Incorporated — Billing Profile & Reimbursement Data policy alerts

Utah Navajo Health System, Incorporated — Billing Profile & Reimbursement Data

Sign up for Utah Navajo Health System, Incorporated — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References