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.

Anthem Dialysis LLC (NPI 1609353994)

Field	Value
Entity Type	Organization
Organization	Anthem Dialysis LLC
Address	1213 Flint Meadow Dr Ste 1b
City	Kaysville
State	UT
ZIP	84037
Taxonomy	Renal Dialysis Technician
NPI Enumerated	July 19, 2018

Payer Source	Total Paid
Medicaid	$527.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	1,350	$380	$509.2K
A4657	Syringe, with or without needle, each	200	$80	$16.5K
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	60	$30	$1.9K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	60	$1	$170
82310	The lab analyst measures the calcium level, primarily on a serum sample.	50	$0	$0
82374	The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.	50	$0	$0
82435	The lab analyst performs the technical lab test to analyze the amount of chloride, sometimes abbreviated Cl, in the blood.	50	$0	$0
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	50	$0	$0
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	60	$0	$0
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	20	$0	$0

Showing 1–10 of 19

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

Anthem Dialysis LLC — 0 of 4 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4657	Syringe, with or without needle, each	25	30	740	$120	$265.8K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	28	40	3,730	$30	$154.2K
J1756	Injection, iron sucrose, 1 mg	22	30	300	$10	$7.2K
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	40	50	350	$10	$3.6K
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	28	30	440	$10	$2.9K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	38	40	170	$10	$2.4K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	35	50	300	$1	$2.4K
84466	The lab analyst performs a test to measure the amount of transferrin in patient blood.	28	30	160	$1	$2.2K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	7	10	270	$1	$1.7K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	48	60	400	$1	$1.7K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Anthem Dialysis LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Families First Pediatrics	UT	Pediatrics Physician	$0	$7.7M
Family Enrichment Center Davis School District	UT	Local Education Agency (LEA)	$0	$3.9M
Apple Tree Assisted Living	UT	Assisted Living Facility	$0	$3.5M
Life Spring Pain Management, LLC	UT	Health Service Clinic/Center	$0	$1M
Christian Obah	UT	Anesthesiology Physician	$47.3K	$352.8K
Ascent Health Services LLC	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$333.6K
Gary Holland	UT	Family Medicine Physician	$82.9K	$0
Patrick Kendell	UT	Family Medicine Physician	$75K	$0
Lori Ramirez	UT	Dermatology Physician	$61.2K	$0
Jocelyn Montierth	UT	Primary Care Nurse Practitioner	$60.6K	$0

Anthem Dialysis LLC — Billing Profile & Reimbursement Data

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Anthem Dialysis 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

Nearby Providers

Frequently Asked Questions

References