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.

Timpanogos Regional Medical Services, Inc. (NPI 1497702195)

Field	Value
Entity Type	Organization
Organization	Timpanogos Regional Medical Services, Inc.
Address	750 W 800 N
City	Orem
State	UT
ZIP	84057
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-focused facility: there is no Medicare billing on file while total Medicaid revenue is $7.8M, so available claims data and revenue are dominated by a single public payer. The absence of Medicare activity limits cross-payer comparison and suggests analysts should treat this profile as representing largely Medicaid-funded service delivery rather than a balanced Medicare/Medicaid mix.

Revenue is highly concentrated in a single, opaque code set: the code 8888888 (no description available) accounts for $5.7M and 74.4% of this provider’s Medicaid revenue, and the top three Medicaid codes together account for 81.5% of total Medicaid revenue. The extreme share held by those top three codes (8888888, 99283, 80053) means a small number of services drive the bulk of Medicaid receipts for this entity.

The mix of top-billed Medicaid procedures points to a high-volume emergency department with on-site diagnostic services: 99283 appears with 9K claims ($32 avg paid/claim, $288.3K revenue) and 99284 with 7.5K claims ($21 avg paid/claim, $157.1K revenue), while lab and imaging codes such as 80053 (6.1K claims, $43 avg paid/claim, $260.2K revenue), 80048, 85027, 71045 and 70450 are also prominent. Together these codes are consistent with a general acute care hospital that processes large ED caseloads and performs frequent inpatient/outpatient laboratory and imaging workups.

Competitive standing varies by code: the dominant revenue code 8888888 ranks #21 of 57 providers in-state (64th percentile), indicating only modest statewide volume leadership for that particular billing line despite its outsized share of this provider’s revenue. In contrast, ED evaluation-and-management codes show stronger relative positioning—99283 ranks #18 of 186 (91th percentile) and 99284 ranks #30 of 192 (85th percentile)—signaling above-average ED activity compared with in-state peers for those E/M levels.

Most of the provider’s top Medicaid codes are characterized in the data as "typical, unremarkable volume for this code," which indicates the dataset does not flag these procedures as statistical outliers even when some occupy high percentiles. That label suggests utilization patterns among the listed services generally fall within expected ranges for in-state providers, rather than showing anomalous claim counts or unusual code mix by the supplied metrics.

The lack of a standard description for 8888888 constrains direct clinical interpretation: because 8888888 is the single largest revenue driver ($5.7M, 74.4%) and the dataset provides no descriptor, chart-level or billing-mapping follow-up will be necessary to determine whether this code represents a bundled facility charge, specific high-cost service, or a local billing artifact. Analysts should prioritize decoding 8888888 before drawing deeper conclusions about clinical volumes or service lines.

Payment intensity varies across leading codes and highlights where reimbursements concentrate: 8888888 carries a relatively high avg paid/claim ($315) compared with other high-volume items like 99283 ($32 avg) and 80053 ($43 avg), which helps explain why one code can dominate total revenue even when other services have large claim counts. This pattern suggests reimbursement per encounter, not just claim frequency, is a primary driver of the provider’s Medicaid revenue mix.

The provider has an established operational history—NPI enumerated on 2006-05-28 (~20 years ago)—which, combined with the high ED claim volumes and extensive lab/imaging activity, supports the interpretation of a stable community acute-care hospital with entrenched Medicaid utilization rather than a newly formed or sporadically billing entity. Tenure reduces the likelihood that the observed concentration is a short-term anomaly, but the unexplained reliance on 8888888 still warrants targeted review.

Medicaid: Complete Services Breakdown

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

95 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	18,220	$320	$5.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	9,010	$30	$288.3K
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.	6,050	$40	$260.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	980	$240	$231.5K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	4,240	$40	$165.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	7,480	$20	$157.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,120	$60	$122.9K
96372	A 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…	2,710	$40	$103.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,190	$50	$98.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	2,290	$30	$68.6K

Showing 1–10 of 95

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

Timpanogos Regional Medical Services, Inc. — 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

95 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	21	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	30	1,760	$50	$1.6M
J3490	Unclassified drugs	25	30	150	$90	$520.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	65	70	1,610	$30	$367.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	46	160	190	$70	$283.2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	30	190	200	$50	$239.5K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	24	40	770	$90	$231.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	17	50	4,040	$30	$186.4K
A9270	Non-covered item or service	16	20	1,600	$40	$147.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	18	190	250	$40	$146.8K

Showing 1–10 of 95

Nearby Providers

Other providers in the same ZIP code as Timpanogos Regional Medical Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Specialists, LLC	UT	Home Health Agency	$0	$16.1M
Kids On The Move, Inc.	UT	Developmentally Disabled Services Day Training Agency	$0	$6.7M
Papilion Integrated Recovery Centers	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.2M
Chrysalis Utah, LLC	UT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.6M
Kids On The Move, Inc	UT	Developmentally Disabled Services Day Training Agency	$0	$4.4M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$4.2M
City Of Orem Corporation	UT	Land Ambulance	$235.5K	$3.1M
Central Utah Surgicenter, LLC	UT	Ambulatory Surgical Clinic/Center	$2.1M	$28K
Hautoa Enterprises LLC	UT	Substance Abuse Rehabilitation Facility	$49.8K	$1.9M
Joshua Martin	UT	General Practice Dentistry	$0	$1.6M

Timpanogos Regional Medical Services, Inc. — Billing Profile & Reimbursement Data

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Timpanogos Regional Medical Services, Inc. — 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