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.

Alpine School District (NPI 1578670451)

Field	Value
Entity Type	Organization
Organization	Alpine School District
Address	169 N 1100 E
City	American Fork
State	UT
ZIP	84003
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	August 24, 2006

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Key Findings

ALPINE SCHOOL DISTRICT is effectively a single-payer Medicaid billing entity with no Medicare billing on file; lifetime Medicare revenue is listed as none while total Medicaid revenue is $8.4M, indicating its operations and reimbursement activity are focused on state Medicaid programs rather than Medicare beneficiaries.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with T1018 alone representing $7.5M or 88.6% of reported Medicaid receipts. This indicates a narrow revenue base driven almost entirely by school-based individualized education program (IEP) services.

Business and service-line implications from the code mix show the provider operates as a school-based special education and related services provider: dominant billing for T1018 (school-based IEP services) combined with substantial RN services (T1002) and LPN/LVN services (T1003) suggests ALPINE SCHOOL DISTRICT delivers integrated educational, nursing, and aide services within the school setting.

Competitive standing for its top revenue code is modest within Utah: T1018 revenue ranks #10 of 33 providers in-state (72th percentile), indicating typical, unremarkable volume for that code rather than market dominance despite the high internal concentration of revenue on that service.

For nursing-support services, T1002 (RN services) generated $842.7K or 10.0% of Medicaid revenue and ranks #10 of 15 providers in-state (36th percentile), positioning ALPINE SCHOOL DISTRICT as a mid-to-lower-volume provider of billed RN time relative to the small in-state peer set for that code. T1003 (LPN/LVN services) contributes $121.9K (1.4% of revenue) and ranks #5 of 6 providers (20th percentile), indicating limited scale for licensed practical nurse services.

Several frequently billed rehabilitation and therapy codes (92507, 97110) appear with high claim counts but $0 avg paid/claim and $0 revenue recorded here; 92507 shows 11.3K claims and ranks #2 of 67 providers in-state (98th percentile, labeled an extreme outlier), while 97110 has 8.4K claims and ranks #6 of 205 providers (98th percentile, notably above typical state volume). These patterns suggest heavy utilization of speech and therapeutic services in encounter counts, but corresponding paid Medicaid revenue for these specific codes is not reflected in this dataset.

The provider’s NPI was enumerated around 2006-08-24 (~20 years ago), indicating long tenure in the billing system which supports an established relationship with state Medicaid programs and likely embedded school-based service delivery models.

From a payer-mix and financial risk perspective, the near-absence of Medicare activity and the concentration of Medicaid revenue in a single school-based IEP code imply that reimbursement sensitivity for ALPINE SCHOOL DISTRICT is tightly linked to Medicaid policy and rates for school-based services; any changes to T1018 reimbursement would disproportionately affect the provider’s revenue base.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1018	School-based individualized education program (iep) services, bundled	48,810	$150	$7.5M
T1002	Rn services, up to 15 minutes	710	$1,190	$842.7K
T1003	Lpn/lvn services, up to 15 minutes	180	$690	$121.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	11,310	$0	$0
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	2,740	$0	$0
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	130	$0	$0
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	760	$0	$0
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	8,370	$0	$0
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	470	$0	$0
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	20,050	$0	$0

Showing 1–10 of 11

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

Alpine School District — 0 of 3 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1018	School-based individualized education program (iep) services, bundled	10	30	13,980	$30	$2.2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	5	30	6,130	$110	$1.1M
T1003	Lpn/lvn services, up to 15 minutes	5	10	720	$530	$812.7K
T1002	Rn services, up to 15 minutes	10	20	1,900	$90	$731.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	6	210	590	$50	$77.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2	70	1,030	$10	$27.1K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	4	10	130	$30	$13.2K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	14	20	1,110	$1	$3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	6	30	150	$1	$530
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	13	30	1,150	$1	$10

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Alpine School District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$17.2M
Star Kids	UT	Home Health Agency	$0	$5M
American Fork City Corporation	UT	Land Ambulance	$188.3K	$2.8M
Alliance Youth Services	UT	Foster Care Agency	$0	$2.5M
Smith And Macdonald Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.3M
North Valley Emergency Physicians Lc	UT	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.5M
Michael Whiting	UT	Pediatric Adolescent Medicine Physician	$0	$827.1K
Chad Gollaher	UT	Pediatric Dentistry	$0	$759.4K
David Macdonald	UT	Pediatric Dentistry	$0	$729.9K
Don Boren	UT	General Practice Dentistry	$0	$679.4K

Alpine School District — Billing Profile & Reimbursement Data

Sign up for Alpine School District — Billing Profile & Reimbursement Data policy alerts

Alpine School District — Billing Profile & Reimbursement Data

Sign up for Alpine School District — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References