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.

Wasatch Homeless Health Care, Inc. (NPI 1528128899)

Key Findings

Field	Value
Entity Type	Organization
Organization	Wasatch Homeless Health Care, Inc.
Address	409 W 400 S
City	Salt Lake City
State	UT
ZIP	84101
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 9, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

WASATCH HOMELESS HEALTH CARE, INC. reports no Medicare billing on file and $7.9M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid) based on available claims data. The absence of Medicare activity contrasts with its substantial Medicaid presence and should be treated as a Medicaid-dominant billing profile for payer strategy and network decisions.

Revenue is highly concentrated: the provider's top three Medicaid codes account for 78.6% of its total Medicaid revenue. That concentration is driven primarily by T1015, 99214, and 99213, indicating dependence on a small set of visit-type payments for the majority of cash flow from Medicaid.

T1015 (Clinic visit/encounter, all-inclusive) is the single largest revenue driver at $4M and represents 50.8% of this provider's Medicaid revenue; the provider ranks #2 of 65 in-state and is labeled an extreme outlier, indicating an outsized role in delivering FQHC-style all-inclusive clinic visits compared with peers. Given the provider's FQHC taxonomy, the high T1015 volume is consistent with federally qualified health center reimbursement models and suggests primary care and wraparound clinic operations are central to the business.

99214 and 99213 together represent a large share of visit-level E/M revenue: 99214 accounts for $1.6M (20.3% of Medicaid revenue) and ranks #19 of 1340 providers in-state (99th percentile, notably above typical volume), while 99213 accounts for $585.7K (7.5%) and ranks #42 of 1355 (97th percentile). This mix points to heavy throughput of established outpatient visits, with a meaningful tilt toward higher-complexity established-patient encounters (99214) relative to lower-complexity visits.

Behavioral health services are a meaningful secondary service line but are materially smaller than primary care encounter billing: psychotherapy and psychiatric evaluation codes such as 90832 ($344.9K, 4.4%), 90837 ($166K, 2.1%), and 90792 ($148.6K, 1.9%) appear in the top codes, showing integrated mental health offerings within the clinic footprint rather than a standalone behavioral health billing profile. These codes rank in middle-to-upper state percentiles (e.g., 90832 at the 78th percentile), indicating routine but not dominant behavioral health delivery relative to in-state peers.

Several lower-revenue codes show the clinic also provides preventive and ancillary services (vaccination codes 91320/91322, immunization administration 90471, laboratory services like 80053 and 83036, and phlebotomy 36415). Each of these codes represents a small share of total Medicaid revenue (generally under 1% apiece) but together support the characterization of an integrated primary care/FQHC that delivers vaccines, basic labs, and minor procedures in addition to visits.

Competitive standing is uneven by code: the clinic is a state-level leader for T1015 (extreme outlier) and a notable high-volume provider for 99214 (99th percentile, notably above typical state volume), whereas most other codes are in typical to moderately above-typical percentiles. For payer negotiations and network positioning, that profile signals local market dominance for FQHC-style all-inclusive clinic visits and strong capacity for mid-complexity outpatient care, but less dominance in ancillary or specialty services.

The provider's NPI was enumerated on 2006-12-09 (~20 years ago), indicating long tenure in the market. That longevity, combined with concentrated Medicaid revenues and an FQHC taxonomy, suggests established operational workflows around high-volume clinic visits and integrated primary/behavioral healthcare delivery for Medicaid populations.

Medicaid: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	27,880	$140	$4M
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…	17,810	$90	$1.6M
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…	9,600	$60	$585.7K
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…	2,250	$150	$344.9K
99204	The provider sees a new 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 provider…	2,070	$130	$258.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,220	$150	$187.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,080	$80	$166K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,130	$130	$148.6K
99203	The provider sees a new 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 provider…	1,920	$70	$128.5K
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,…	1,930	$60	$117.6K

Showing 1–10 of 72

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

Wasatch Homeless Health Care, Inc. — 6 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	29	60	760	$70	$1.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	99	370	690	$140	$704.2K
90834	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…	61	110	270	$120	$439.4K
T1015	Clinic visit/encounter, all-inclusive	2	70	270	$110	$376.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	140	160	$220	$374.1K
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…	21	90	270	$70	$200.4K
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…	60	120	1,100	$30	$186.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	39	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…	19	1,340	200	$80	$144K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	7	50	90	$190	$136.4K

Showing 1–10 of 72

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andy Tran	UT	Clinical Social Worker	$0	$427.1K
Trisha Fambro	UT	Family Nurse Practitioner	$29.6K	$0
William Asper	UT	Clinical Social Worker	$23K	$0
Majd Ibrahim	UT	Cardiovascular Disease Physician	$16.4K	$0
Isabella Tcaciuc	UT	Psychiatry Physician	$12.5K	$0

Wasatch Homeless Health Care, Inc. — Billing Profile & Reimbursement Data

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Wasatch Homeless Health Care, 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