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.

University Of Utah (NPI 1487734976)

Field	Value
Entity Type	Organization
Organization	University Of Utah
Address	501 S Chipeta Way
City	Salt Lake City
State	UT
ZIP	84108
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$23.1M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (none (no Medicare billing on file)), making its public claims footprint effectively single‑payer and concentrated in Medicaid; total Medicaid revenue is $23.1M, so analyses of payer mix should treat Medicaid as the sole observed commercial government payer activity. Given the absence of Medicare revenue, any conclusions about inpatient acute care billing patterns at the Medicare level cannot be drawn from this dataset and comparisons should focus on Medicaid activity.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes by revenue account for 96.5% of the provider's total Medicaid revenue, indicating the organization's Medicaid income is heavily driven by a very small set of services. The largest single line is T2023 with $20.5M (88.4% of Medicaid revenue), so changes in authorization, utilization, or reimbursement for those codes would materially move overall revenue.

The Medicaid code mix is dominated by targeted case management and behavioral‑health support services: T2023 (Targeted case management; per month) is the predominant revenue driver ($20.5M, 98.8K claims), supported by H2000 (Comprehensive multidisciplinary evaluation) at $1.3M and H2016 (Comprehensive community support services, per diem) at $419K. Together these codes point to an operational focus on community behavioral health case management and multidisciplinary evaluations rather than high‑volume acute procedural care.

Competitive standing in‑state is strong for the top codes: the provider ranks #1 of 2 for T2023 (100th percentile) and #1 of 13 for H2000 (100th percentile), indicating it is a leading in‑state provider for targeted case management and comprehensive multidisciplinary evaluations. At the same time, rank and percentile descriptors for T2023 are annotated as “typical, unremarkable volume for this code,” which suggests dominance in a small competitive set rather than exceptionally high utilization relative to broader benchmarks.

Several Medicaid drug and supply codes show substantial claim counts but report $0 or negligible revenue (examples in the top list include J2704, J3010, J3490, J2405), which suggests payments for those line items may be bundled into other claims or reimbursed through alternate mechanisms rather than paid as separate line items. Analysts should treat claim counts for these codes with caution and cross‑check encounter or bundled payment records if available before attributing material revenue impact to those services.

Mid‑tier and lower‑revenue behavioral health codes appear across the roster but contribute only small shares: examples include H2017 ($47.3K, 0.2% of Medicaid revenue), 90832 ($31.2K, 0.1%), and 90791 ($12.8K, 0.1%). These codes are mostly ranked in mid‑to‑lower percentiles statewide (e.g., H2017 at the 59th percentile, 90832 at the 53th percentile), indicating routine, programmatic behavioral health activity rather than specialty or high‑margin service lines.

There are a few statistically notable state positions beyond the top two codes: H2000 is labeled “notably above typical state volume” and ranks #1 of 13 (100th percentile), while J0330 (injection, succinylcholine chloride) also ranks high in the state (#2 of 12, 91th percentile) and is described as “notably above typical state volume.” These annotations imply targeted clinical practices—multidisciplinary behavioral health evaluation and some procedural/injectable services—are meaningful competitive advantages for this provider in Utah.

Tenure is long enough to consider the provider established: the NPI was enumerated on 2006-10-17 (~20 years ago), so the organization has an extended claims history and any trend analysis can reasonably include a multi‑year baseline. Given the concentrated revenue base and the long enrollment tenure, payers and partners should prioritize monitoring utilization and reimbursement policy changes for T2023 and H2000 as central determinants of future Medicaid cash flow.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	98,810	$210	$20.5M
H2000	Comprehensive multidisciplinary evaluation	4,040	$310	$1.3M
8888888	N/A	1,390	$450	$621.3K
H2016	Comprehensive community support services, per diem	440	$950	$418.9K
J0330	Injection, succinylcholine chloride, up to 20 mg	3,210	$50	$166.7K
T1001	Nursing assessment / evaluation	480	$140	$66.4K
H2017	Psychosocial rehabilitation services, per 15 minutes	1,010	$50	$47.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	280	$110	$31.2K
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…	290	$90	$24.9K
J8499	Prescription drug, oral, non chemotherapeutic, nos	3,200	$10	$16K

Showing 1–10 of 31

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

University Of Utah — 3 of 21 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	1	10	49,810	$210	$10.5M
8888888	N/A	46	60	8,900	$400	$9.5M
H2016	Comprehensive community support services, per diem	12	10	11,170	$90	$4.3M
J8499	Prescription drug, oral, non chemotherapeutic, nos	2	10	52,700	$60	$3.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	27	30	1,760	$50	$1.6M
S9485	Crisis intervention mental health services, per diem	4	10	3,160	$550	$1.5M
H2014	Skills training and development, per 15 minutes	45	50	1,320	$130	$1.1M
T1017	Targeted case management, each 15 minutes	45	60	760	$70	$1.1M
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	7	10	2,100	$90	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	39	90	340	$70	$713.8K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah	UT	General Acute Care Hospital	$0	$221.3M
University Of Utah	UT	Home Infusion Therapy Pharmacy	$0	$3.8M
University Of Utah	UT	Psychiatric Hospital	$0	$2.1M
Akbar Shakoor	UT	Ophthalmology Physician	$702.4K	$0
Eric Hansen	WA	Ophthalmology Physician	$517.4K	$0
William Barlow	UT	Ophthalmology Physician	$209.4K	$0
Craig Chaya	UT	Ophthalmology Physician	$159K	$0
Mark Mifflin	UT	Ophthalmology Physician	$137.6K	$0
Brian Zaugg	UT	Ophthalmology Physician	$122.2K	$0
Paul Bernstein	UT	Ophthalmology Physician	$117.3K	$0

Nearby Providers

Other providers in the same ZIP code as University Of Utah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Regional And University Pathologists Inc	UT	Clinical Medical Laboratory	$1.6M	$8.1M
University Of Utah Dental Services	UT	Dental Clinic/Center	$0	$4.6M
Crescendo Bioscience, Inc	UT	Clinical Medical Laboratory	$0	$1.8M
Kolff Dialysis Center University Of Utah	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
University Of Utah Adult Services	UT	Orthopaedic Surgery Physician	$0	$1.1M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$428.2K
Kevin Croft	UT	Dental Anesthesiology	$0	$362.6K
Brandon Lawrence	UT	Orthopaedic Surgery Physician	$219.6K	$0
Mazdak Khalighi	UT	Anatomic Pathology Physician	$159.3K	$0
Jeremy Gililland	UT	Orthopaedic Surgery Physician	$151K	$0

University Of Utah — 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