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.

Hospital Corporation Of Utah (NPI 1528010451)

Field	Value
Entity Type	Organization
Organization	Hospital Corporation Of Utah
Address	630 Medical Dr
City	Bountiful
State	UT
ZIP	84010
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	14,610	$290	$4.2M
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.	7,290	$70	$473.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,010	$80	$328.7K
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.	710	$180	$127.6K
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.	4,750	$30	$123.4K
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…	2,680	$30	$75K
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.	7,220	$10	$72.2K
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…	1,150	$60	$67.6K
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	760	$90	$67.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1,950	$30	$54.5K

Showing 1–10 of 83

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

Hospital Corporation Of Utah — 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

83 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	24	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14	30	1,760	$50	$1.6M
J3490	Unclassified drugs	21	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.	59	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.	44	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.	33	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…	16	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.	19	50	4,040	$30	$186.4K
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.	36	190	250	$40	$146.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	29	240	220	$50	$145.2K

Showing 1–10 of 83

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bcbu, Inc.	UT	Home Health Agency	$0	$10.2M
Vali Division Of Wasatch, Inc	UT	Community Based Hospice Care Agency	$0	$8.4M
South Davis Metro Fire Service Area	UT	Land Ambulance	$317.9K	$3.3M
Ryan K Anderson D P M P C	UT	Foot & Ankle Surgery Podiatrist	$0	$3.5M
Rocky Mountain Personal Care LLC	UT	In Home Supportive Care Agency	$0	$3M
Providential Bba Operating LP	UT	Home Health Agency	$0	$1.7M
Tautai Barton Creek, LLC	UT	Assisted Living Facility	$0	$1.5M
Mg Bountiful Subtenant LLC	UT	Assisted Living Facility	$0	$1.3M
Neurobehavioral Center For Growth LLC	UT	Psychologist	$0	$1.2M
Mountain West Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$950.5K	$23.8K

Hospital Corporation Of Utah — Billing Profile & Reimbursement Data

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Hospital Corporation Of Utah — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References