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.

Midtown Community Health Center Inc (NPI 1548267420)

Midtown Community Health Center Inc is a federally qualified health center (fqhc) provider located in Ogden, Utah. This profile covers 0 Medicare and 88 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Midtown Community Health Center Inc
Address	2240 Adams Ave
City	Ogden
State	UT
ZIP	84401
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

88 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	31,130	$70	$2.1M
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…	7,620	$90	$700.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,440	$90	$386.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,900	$80	$243.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,350	$70	$174K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,710	$80	$130K
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,…	2,740	$40	$109.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	2,530	$40	$106.1K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	1,540	$60	$86K
91300	N/A	3,050	$20	$51.9K

Showing 1–10 of 88

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

Midtown Community Health Center Inc — 13 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

88 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	100	110	270	$120	$439.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	55	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…	52	1,340	200	$80	$144K
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…	16	1,360	190	$70	$125K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	6	70	340	$50	$117.7K
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…	71	160	250	$50	$76.9K
J1885	Injection, ketorolac tromethamine, per 15 mg	60	70	1,210	$20	$76.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	13	220	200	$80	$74K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12	190	150	$80	$58.1K
D0140	Limited oral evaluation – problem focused	101	260	140	$120	$55.8K

Showing 1–10 of 88

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Arbogast	UT	Family Medicine Physician	$0	$2.5M
Haydee Blanca	UT	Pediatrics Physician	$0	$600.8K
Cristina Regalado	UT	Physician Assistant	$54.6K	$0
Tyler D'hulst	UT	Physician Assistant	$38.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Weber Human Services	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$81.6M
Ogden City Corporation	UT	Ambulance	$689.2K	$17M
Alpha Counseling And Treatment, Inc	UT	Mental Health Counselor	$0	$4M
Gahc4 West Haven Ut Trs Sub, LLC	UT	Assisted Living Facility	$0	$3.2M
State Of Utah, Department Of Health	UT	Early Intervention Provider Agency	$0	$2.9M
Weber Human Services	UT	Case Management Agency	$0	$2.8M
Weber Recovery Center LLC	UT	Substance Abuse Rehabilitation Facility	$0	$2.7M
Ogden City School District	UT	Local Education Agency (LEA)	$0	$2.1M
Baymark Health Services Of Utah, Inc.	UT	Substance Use Disorder Rehabilitation Clinic/Center	$125.8K	$1.8M
Weber Human Services	UT	Family Medicine Physician	$0	$870K

Midtown Community Health Center Inc — Billing Profile & Reimbursement Data

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Midtown Community Health Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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