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.

Vali Division Of Wasatch, Inc (NPI 1649277955)

Field	Value
Entity Type	Organization
Organization	Vali Division Of Wasatch, Inc
Address	576 W 900 S Ste 106
City	Woods Cross
State	UT
ZIP	84010
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Key Findings

VALI DIVISION OF WASATCH, INC shows no Medicare billing on file and $8.4M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) provider under the current dataset. Analysts should treat its Medicaid activity as the primary source of financial and operational insight because Medicare does not appear in its billing profile.

Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T2046 alone responsible for $7.9M (93.9% of total Medicaid revenue) and T2042 contributing $509.8K (6.1%). This concentration indicates that a very small set of hospice per‑diem services drives virtually all reported Medicaid receipts.

The provider’s taxonomy (Community Based Hospice Care Agency) aligns with its top codes. T2046 (hospice long term care, room and board only; per diem) generated 2.5K claims at $3124 avg paid/claim and dominates revenue, while T2042 (hospice routine home care; per diem) produced 421 claims at $1211 avg paid/claim, suggesting a primary operational focus on hospice long‑term care facility room‑and‑board services with a smaller home‑care component.

Competitive standing on the leading code is solid but not dominant: the provider ranks #4 of 21 in‑state on T2046 (85th percentile; typical, unremarkable volume for this code). This places the provider as a meaningful regional participant in long‑term care hospice per‑diem billing, but not the top billing entity in the state.

On hospice routine home care (T2042) the provider ranks #3 of 4 in‑state (33th percentile; typical, unremarkable volume for this code), indicating only modest market presence in home hospice per‑diem services relative to peers. The lower rank and smaller revenue share for T2042 imply limited scale in community/home hospice compared with facility‑based room‑and‑board care.

NPI enumeration date is 2005-06-30 (~21 years ago), indicating long tenure in the market; this longevity supports the interpretation that the provider’s current coding and payer mix reflect an established hospice business model rather than a newly developed line of service.

The combination of single‑payer dependence (Medicaid), extreme revenue concentration in T2046, and reliance on per‑diem room‑and‑board payments creates operational and reimbursement exposure: changes to Medicaid hospice per‑diem rates or eligibility policy would likely have an outsized impact on this provider’s financials. Monitoring state Medicaid rate changes and policy updates for long‑term care hospice payments is therefore especially material for assessing risk.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	2,520	$3,120	$7.9M
T2042	Hospice routine home care; per diem	420	$1,210	$509.8K

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

Vali Division Of Wasatch, Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2042	Hospice routine home care; per diem	3	10	9,120	$180	$2.4M
T2046	Hospice long term care, room and board only; per diem	4	20	750	$1,230	$1.8M

Nearby Providers

Other providers in the same ZIP code as Vali Division Of Wasatch, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bcbu, Inc.	UT	Home Health Agency	$0	$10.2M
Hospital Corporation Of Utah	UT	General Acute Care Hospital	$0	$6M
South Davis Metro Fire Service Area	UT	Land Ambulance	$317.9K	$3.3M
Ryan K Anderson D P M P C	UT	Foot & Ankle Surgery Podiatrist	$0	$3.5M
Rocky Mountain Personal Care LLC	UT	In Home Supportive Care Agency	$0	$3M
Providential Bba Operating LP	UT	Home Health Agency	$0	$1.7M
Tautai Barton Creek, LLC	UT	Assisted Living Facility	$0	$1.5M
Mg Bountiful Subtenant LLC	UT	Assisted Living Facility	$0	$1.3M
Neurobehavioral Center For Growth LLC	UT	Psychologist	$0	$1.2M
Mountain West Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$950.5K	$23.8K

Vali Division Of Wasatch, Inc — Billing Profile & Reimbursement Data

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Vali Division Of Wasatch, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References