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.

Ihc Health Services, Inc. (NPI 1528078581)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services, Inc.
Address	8th Avenue And C St
City	Salt Lake City
State	UT
ZIP	84143
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available claims data: there is no Medicare billing on file while Total Medicaid revenue is $19.9M, so all observed government-payer activity in our dataset is concentrated in Medicaid. That payer concentration should be kept front and center when comparing to peers or modeling payer mix exposure.

Revenue is highly concentrated in a single Medicaid code: the top three Medicaid codes account for 82.9% of this provider's Medicaid revenue, and a single code, 8888888, alone represents 77.0% of the $19.9M Medicaid total with $14.6M in revenue. The dominance of 8888888 makes the provider’s Medicaid performance particularly sensitive to utilization, reimbursement, or reporting changes for that specific code.

Interpretation of the provider’s service mix is constrained by 8888888 lacking a description; however, the remaining top codes point to substantial laboratory and acute/ED procedural activity. Notably, 85025 (CBC) generated $782.3K (4.1% of Medicaid revenue) and several infusion/injection administration codes (96374, 96365, 96372) appear in the top list, indicating routine lab throughput plus frequent IV medication/infusion services consistent with a general acute care hospital setting.

Emergency department services appear to be a meaningful operational pillar: the ED E/M codes 99283, 99284, and 99285 each produce material claim volumes and all rank high in-state (99283 at the 90th percentile, 99284 at the 91th percentile, 99285 at the 92th percentile). Those percentile placements suggest above‑median ED throughput relative to Utah peers and align with the presence of multiple related procedure and drug administration codes in the top billing mix.

There is at least one clear statistical outlier in the provider’s Medicaid profile: 11042 (surgical debridement) generated $279.4K and ranks #2 of 39 providers in-state at the 97th percentile, labeled “notably above typical state volume.” This elevated standing for 11042 indicates the provider is a relatively important regional source for surgical debridement compared with peers.

Most of the other high-volume codes are described as "typical, unremarkable volume" relative to in-state peers (for example, 8888888 ranks #13 of 57 at the 79th percentile, 96374 ranks #13 of 48 at the 74th percentile, and 85025 ranks #11 of 121 at the 92th percentile), which points to a mix of a single dominant revenue driver plus otherwise conventional hospital service volumes. In short, aside from the dominant undocumented code and the surgical debridement outlier, the provider’s Medicaid activity resembles that of a typical acute-care hospital in Utah.

Because 8888888 has no description on file yet accounts for $14.6M (77.0%) of Medicaid revenue, any business or competitive analysis should treat the identity, clinical setting, and billing rules for that code as a high-priority open question. A follow-up to map 8888888 to a specific service line or internal department is essential before making firm conclusions about service mix, capacity, or reimbursement drivers.

The provider has an established presence: its NPI was enumerated on 2006-08-09 (~20 years ago), indicating long tenure in the market. Coupled with the observed Medicaid concentration and the mix of ED, infusion, lab, and select surgical activity, the profile is consistent with an established general acute care hospital whose state-level competitiveness rests on a dominant single code plus strong ED and procedural volumes.

Medicaid: Complete Services Breakdown

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

164 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	35,210	$410	$14.6M
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…	20,060	$40	$782.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,260	$40	$347K
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…	2,250	$150	$327.9K
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.	8,090	$40	$323.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	3,410	$90	$293K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,240	$130	$279.4K
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.	12,040	$20	$264.8K
0241U	N/A	2,340	$100	$240.7K
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.	8,630	$30	$224.3K

Showing 1–10 of 164

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

Ihc Health Services, Inc. — 1 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

164 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	13	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	30	1,760	$50	$1.6M
J3490	Unclassified drugs	16	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.	14	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.	14	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.	18	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…	9	40	770	$90	$231.9K
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…	11	120	1,100	$30	$186.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13	50	4,040	$30	$186.4K
J0690	Injection, cefazolin sodium, 500 mg	9	30	960	$90	$162.4K

Showing 1–10 of 164

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ihc Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	Children's Hospital	$0	$129.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$54.1M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$25.3M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M

Nearby Providers

Other providers in the same ZIP code as Ihc Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services Inc	UT	Hospitalist Physician	$0	$1.9M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$360.4K
Landon Coleman	UT	Anatomic Pathology & Clinical Pathology Physician	$180.9K	$8.5K
Mark Martinez	UT	Pulmonary Disease Physician	$155.2K	$0
Laura Tranchini	UT	Physician Assistant	$104.9K	$0
Robert Mazzola	UT	Sleep Medicine (Internal Medicine) Physician	$84.7K	$0
Christopher Herman	UT	Anatomic Pathology & Clinical Pathology Physician	$73.6K	$0
Ann Taylor	UT	Anatomic Pathology & Clinical Pathology Physician	$60.1K	$0
Melissa Cessna	UT	Anatomic Pathology & Clinical Pathology Physician	$40.8K	$0
Tom Cloward	UT	Pulmonary Disease Physician	$33.3K	$0

Ihc Health Services, Inc. — Billing Profile & Reimbursement Data

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Ihc Health 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

Related Providers

Nearby Providers

Frequently Asked Questions

References