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 1538178801)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services, Inc.
Address	1303 N Main St
City	Cedar City
State	UT
ZIP	84721
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

Key Findings

IHC HEALTH SERVICES, INC. is effectively a single-payer Medicaid facility in the available data: there is no Medicare billing on file and total Medicaid revenue reported is $20.4M, indicating Medicaid is the material source of recorded fee-for-service revenue for this entity. The provider’s NPI was enumerated 2006-08-05 (~20 years ago), so this is an established facility with a long billing history in state records.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 83.0% of the provider’s total Medicaid revenue, with a single unlabeled code, 8888888, contributing $14.6M (77.0% of Medicaid revenue; 33.8K claims, $432 avg paid/claim). This concentration means overall financial performance is driven overwhelmingly by one billed code, which amplifies sensitivity to changes in coverage or pricing for that code.

The mix of billed services is consistent with a general acute care hospital operating a busy emergency and outpatient diagnostic campus: high volumes of ED E/M codes (99283: 12.2K claims, $488.5K), routine laboratory panels (85025: 23.6K claims, $637.1K; 80050: 3.6K claims, $357.3K; 80053: 21.6K claims, $43.1K), imaging (72148: 813 claims, $117.9K; 70450: 2K claims, $66.8K; 74177: 2.7K claims, $46.3K), and infusion/injection services (96372: 3K claims, $461.1K; 96374: 9.4K claims, $273.7K). Together these codes paint a profile of ED-driven patient flow with on-site lab, imaging, and outpatient infusion capabilities typical of a community acute-care hospital.

Despite 8888888 being the dominant revenue line in dollars, the provider’s relative statewide position on that code is not extreme: 8888888 ranks #14 of 57 providers in-state (77th percentile) and is labeled “typical, unremarkable volume for this code.” In other words, the dollar dominance stems from the per-claim value or coding mix rather than an outlier claim volume relative to peers.

Emergency department E/M codes show above-average activity relative to in-state peers: 99283 ranks #13 of 186 providers (94th percentile) and 99284 ranks #19 of 192 providers (91th percentile), while 99285 ranks #25 of 155 providers (84th percentile). These percentiles indicate the hospital is a significant ED service provider in Utah, with multiple mid- to high-acuity E/M codes appearing at high state percentiles, supporting the characterization of a busy emergency department.

There is one explicit statistical outlier flag in the code-level notes: 99282 is marked “notably above typical state volume” and ranks #8 of 71 providers (90th percentile) with 4.2K claims and $222.4K revenue. That specific signal suggests certain lower-acuity ED encounters are reported at materially higher volumes than typical peers, which could reflect local demand patterns, coding mix, or care-delivery design for lower-acuity cases.

The absence of Medicare billing on file combined with the Medicaid-heavy revenue profile suggests payer mix concentration risk; any changes in Medicaid policy, reimbursement rates, or network participation could have outsized impact on reported revenue. Given the provider’s long tenure (NPI since 2006-08-05 (~20 years ago)) and broad set of hospital services reflected in the code mix, the facility appears operationally established but financially dependent on a small set of Medicaid-reimbursed codes.

Interpretation of the provider’s service focus is constrained by the single large unlabeled revenue driver: because 8888888 has no description available, it is not possible from these data alone to determine whether that code reflects a high-value procedure, a bundled payment, lab or imaging revenue, or another service modality. Analysts should treat conclusions about service-line dominance with caution and prioritize obtaining a descriptor or crosswalk for 8888888 before making definitive operational or contract-level recommendations.

Medicaid: Complete Services Breakdown

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

193 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	33,840	$430	$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…	23,600	$30	$637.1K
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.	12,210	$40	$488.5K
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…	2,960	$160	$461.1K
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.	11,290	$40	$395.1K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	3,570	$100	$357.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9,440	$30	$273.7K
0241U	N/A	2,070	$130	$273.5K
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.	4,200	$50	$222.4K
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.	3,960	$30	$134.7K

Showing 1–10 of 193

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. — 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

193 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	14	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12	30	1,760	$50	$1.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	21	20	630	$750	$1.2M
J3490	Unclassified drugs	18	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.	31	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.	25	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.	19	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…	14	40	770	$90	$231.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	7	10	280	$350	$218.2K
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…	9	120	1,100	$30	$186.6K

Showing 1–10 of 193

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	$19.9M

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
Paiute Indian Tribe Of Utah	UT	Clinic/Center	$0	$16.4M
Cedar View Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.5M
Paiute Indian Tribe Of Utah	UT	Dental Clinic/Center	$0	$1.4M
Nathan Call	UT	Pediatric Dentistry	$0	$1.4M
Cedar Orthopaedic Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$726K	$0
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$525K
Brett Robbins Msn Rn Cs Fnp Inc	UT	Family Nurse Practitioner	$0	$475.1K
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$431.9K
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$384.7K
Cedar Dermatology PLLC	UT	Dermatology Physician	$0	$337.8K

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

Sign up for Ihc Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

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

Sign up for Ihc Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

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