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.

Davis Hospital & Medical Center LP (NPI 1548205818)

Field	Value
Entity Type	Organization
Organization	Davis Hospital & Medical Center LP
Address	1600 W Antelope Dr
City	Layton
State	UT
ZIP	84041
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 19, 2006

Payer Source	Total Paid
Medicaid	$22.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer by scale: there is no Medicare billing on file and Total Medicaid revenue is $22.5M, so Medicaid represents the entire reported public payer footprint for this NPI. That concentration means evaluations of payer risk, reimbursement contracts, and utilization should be centered on Medicaid flows rather than split across Medicare/Medicaid dynamics.

Revenue is highly concentrated in a very small set of procedure codes: the top 3 Medicaid codes account for 90.6% of this provider's total Medicaid revenue. The largest single contributor is 8888888 (59K claims, $269 avg paid/claim, $15.9M revenue — 73.5% of this provider's total Medicaid revenue), followed by 36415 (28K claims, $117 avg paid/claim, $3.3M revenue — 15.1%) and 99283 (14.3K claims, $30 avg paid/claim, $429.2K revenue — 2.0%).

The dominant revenue driver is an uncoded/undocumented line item: 8888888 supplies $15.9M (73.5%) of Medicaid revenue but has no description available in the file. Although this code ranks only #8 of 57 providers in-state (88th percentile; characterized as typical, unremarkable volume), its share of this hospital’s Medicaid revenue is extremely large and warrants verification of what clinical service or bundled payment it represents.

Clinical mix signals strong outpatient lab and specimen-handling activity. 36415 (venipuncture) appears at very high volume (28K claims, $3.3M revenue) and ranks #3 of 236 providers in-state (99th percentile; notably above typical state volume), while other lab and test codes (for example 81003 ranks #1 of 105 providers in-state, 100th percentile; labeled an extreme outlier) indicate unusually high throughput of certain standard lab procedures relative to peers.

Emergency department services show large claim counts but low average payment per visit, implying a busy ED with modest Medicaid reimbursement per encounter. 99283 (14.3K claims, $429.2K revenue), 99284 (14.2K claims, $170.5K revenue), and 99285 (10.7K claims, $85.4K revenue) all appear in the top code list, and each ranks in high state percentiles (99283 at the 94th, 99284 at the 93rd, 99285 at the 92nd), suggesting consistent ED volume though contribution to total Medicaid revenue is modest relative to 8888888 and 36415.

Competitive standing is mixed by code: for core lab/phlebotomy work the provider is a statewide leader (36415 at the 99th percentile, rank #3), and for at least one urinalysis code the provider is an extreme outlier (81003, rank #1 of 105, 100th percentile). By contrast the unknown high‑value code 8888888, while producing the largest share of this provider’s Medicaid revenue, ranks #8 of 57 in-state (88th percentile), indicating that the provider’s dominance comes more from internal concentration than from top statewide rank on that single code.

Tenure and operational continuity are established: the provider’s NPI was enumerated on 2006-06-19 (~20 years ago), indicating a long-standing presence in the market that aligns with sustained Medicaid billing patterns rather than a recently opened or transient operation.

For analysts focused on contracting, network strategy, or utilization management, two attention points emerge: (1) this provider’s Medicaid revenue is highly dependent on one undocumented code (8888888) that accounts for $15.9M (73.5%) of $22.5M, and (2) it also posts outsized volumes for routine lab/phlebotomy (36415 at 28K claims) and select lab work where it is an extreme outlier (81003). Both facts make detailed coding, service‑line mapping, and reimbursement reconciliation sensible next steps before drawing conclusions about capacity or negotiating leverage.

Medicaid: Complete Services Breakdown

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

209 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	59,030	$270	$15.9M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	27,980	$120	$3.3M
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.	14,310	$30	$429.1K
0241U	N/A	1,610	$170	$269.4K
J7060	5% dextrose/water (500 ml = 1 unit)	410	$480	$197.9K
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…	4,020	$50	$184.8K
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.	14,210	$10	$170.5K
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.	2,490	$50	$126.8K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,600	$40	$111.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10,930	$10	$98.4K

Showing 1–10 of 209

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

Davis Hospital & Medical Center LP — 3 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

209 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	8	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	17	30	1,760	$50	$1.6M
J3490	Unclassified drugs	12	30	150	$90	$520.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	4	10	70	$30	$407K
T1015	Clinic visit/encounter, all-inclusive	22	70	270	$110	$376.1K
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.	18	70	1,610	$30	$367.9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	10	20	270	$40	$334.7K
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.	13	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.	15	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…	22	40	770	$90	$231.9K

Showing 1–10 of 209

Related Providers

Other providers that share a Tax Identification Number (TIN) with Davis Hospital & Medical Center LP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$25.2M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$23.6M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$15.6M
Marian Health Center-smhc	IA	General Acute Care Hospital	$0	$15.5M
Salt Lake Regional Medical Center LP	UT	General Acute Care Hospital	$0	$9.8M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$8.9M
Catholic Health Initiatives Colorado	CO	Rural Health Clinic/Center	$0	$8.3M
Catholic Health Iniatives Colorado	CO	General Acute Care Hospital	$0	$7.5M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$7.3M
Catholic Health Initiatives Colorado	CO	Critical Access Hospital	$0	$6.4M

Nearby Providers

Other providers in the same ZIP code as Davis Hospital & Medical Center LP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Davis Behavioral Health Inc	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$70.8M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$11.6M
Tanner Memorial Clinic	UT	Internal Medicine Physician	$0	$8.1M
Layton City Corporation	UT	Land Ambulance	$377.7K	$4.7M
Hillfield Pediatric & Family Dentistry Inc.	UT	General Practice Dentistry	$0	$3.1M
Catalyst Behavior Solutions	UT	Community/Behavioral Health Agency	$0	$2.8M
Silver Lake Healthcare, Inc.	UT	Community Based Hospice Care Agency	$0	$2.4M
Scott Folkman	UT	Pediatric Dentistry	$0	$2M
Discovery House Lt, Inc.	UT	Methadone Clinic	$76.3K	$1.8M
Silver Lake Healthcare, Inc.	UT	Home Health Agency	$0	$1.6M

Davis Hospital & Medical Center LP — Billing Profile & Reimbursement Data

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Davis Hospital & Medical Center LP — 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