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.

Mountain West Anesthesia LLC (NPI 1558391763)

Mountain West Anesthesia LLC is a anesthesiology physician provider located in Lehi, Utah. This profile covers 0 Medicare and 51 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	Mountain West Anesthesia LLC
Address	3300 N Triumph Blvd Ste G50
City	Lehi
State	UT
ZIP	84043
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	6,820	$350	$2.4M
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	2,090	$290	$597.2K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	3,750	$150	$563.1K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	1,890	$250	$478.7K
01961	The provider performs anesthesia services for a cesarean delivery.	1,460	$270	$388K
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	530	$580	$306.6K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	1,410	$210	$298.1K
01480	The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.	1,060	$240	$253.1K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	1,310	$170	$227.1K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	1,250	$160	$201.3K

Showing 1–10 of 51

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

Mountain West Anesthesia LLC — 16 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

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	10	40	270	$290	$381.5K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	1	20	100	$370	$296K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	2	10	660	$270	$295.7K
01961	The provider performs anesthesia services for a cesarean delivery.	1	10	380	$300	$201.3K
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	1	10	290	$600	$174.1K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	1	10	200	$300	$168.4K
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	2	10	1,130	$120	$139K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	1	10	330	$260	$137.8K
01830	The provider performs anesthesia services for a patient undergoing procedures on the distal radius, distal ulna, wrist, or hand joints. The provider may perform the procedure by using an open…	1	10	450	$250	$111.5K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	1	10	420	$170	$94.5K

Showing 1–10 of 51

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Empey	UT	Pain Medicine (Anesthesiology) Physician	$485.5K	$12.3K
Darin Stettler	UT	Anesthesiology Physician	$214.4K	$0
Timothy Houden	UT	Pain Medicine Physician	$160.2K	$5.5K
Corey Warner	UT	Certified Registered Nurse Anesthetist	$94.4K	$0
Aaron Thornton	WI	Certified Registered Nurse Anesthetist	$80.8K	$0
Jeremy Poulsen	SD	Pain Medicine (Anesthesiology) Physician	$75.6K	$0
Christian Garaycochea	NV	Anesthesiology Physician	$10.6K	$63K
John Skaggs	UT	Critical Care Medicine (Anesthesiology) Physician	$60.9K	$0
David Debenham	UT	Anesthesiology Physician	$46.7K	$0
Curtis Walther	CA	Anesthesiology Physician	$40.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$5.6M
Lehi City Municipal Corporation	UT	Ambulance	$129.1K	$1.8M
Post Acute Rehabilitation Physicians LLC	UT	Physical Medicine & Rehabilitation Physician	$0	$1.7M
Covington Senior Living Of Lehi	UT	Assisted Living Facility	$0	$667.2K
Alpine Pain & Spinal Rehabilitation Inc	UT	Interventional Pain Medicine Physician	$0	$645.9K
Troy Hardy	UT	Pediatric Dentistry	$0	$460.7K
James Macdonald	UT	Dermatology Physician	$415.3K	$26.5K
Ryan Burt	UT	Pediatric Dentistry	$0	$369.7K
David Smith	UT	Internal Medicine Physician	$355.8K	$0
I Am Recovery LLC	UT	Recovery Care Clinic/Center	$0	$340.2K

Mountain West Anesthesia LLC — Billing Profile & Reimbursement Data

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Mountain West Anesthesia LLC — 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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