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.

Easterseals-goodwill Northern Rocky Mountain, Inc. (NPI 1558593830)

Field	Value
Entity Type	Organization
Organization	Easterseals-goodwill Northern Rocky Mountain, Inc.
Address	5242 South 4820 West
City	Kearns
State	UT
ZIP	84118
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	August 20, 2009

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	6,830	$460	$3.2M

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

Easterseals-goodwill Northern Rocky Mountain, Inc. — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	9	20	6,200	$460	$3.4M

Nearby Providers

Other providers in the same ZIP code as Easterseals-goodwill Northern Rocky Mountain, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Mitchell	UT	Clinical Psychologist	$0	$964.8K
Ihc Health Services Inc	UT	Pediatrics Physician	$0	$919.9K
Ihc Health Services Inc	UT	Emergency Medicine Physician	$0	$389.6K
Robert Lym	UT	Family Medicine Physician	$22.7K	$2.2K
Deepa Gupta	UT	Internal Medicine Physician	$16.3K	$0
Kim Heaton	UT	Emergency Medicine Physician	$15.8K	$0

Easterseals-goodwill Northern Rocky Mountain, Inc. — Billing Profile & Reimbursement Data

Sign up for Easterseals-goodwill Northern Rocky Mountain, Inc. — Billing Profile & Reimbursement Data policy alerts

Easterseals-goodwill Northern Rocky Mountain, Inc. — Billing Profile & Reimbursement Data

Sign up for Easterseals-goodwill Northern Rocky Mountain, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References