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.

Canyon Healthcare, Inc. (NPI 1649748559)

Canyon Healthcare, Inc. is a multi-specialty clinic/center provider located in Layton, Utah. This profile covers 0 Medicare and 22 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	Canyon Healthcare, Inc.
Address	1916 N 700 W Ste 110
City	Layton
State	UT
ZIP	84041
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	November 8, 2018

Payer Source	Total Paid
Medicaid	$399.8K
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	4,000	$30	$124K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	3,960	$20	$79.3K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	3,250	$20	$58.6K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,370	$40	$50.6K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,100	$20	$16.5K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	360	$40	$13.5K
99489	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	350	$30	$11.2K
99336	N/A	760	$10	$9.9K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	270	$30	$8.7K
99356	N/A	260	$30	$7.2K

Showing 1–10 of 22

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

Canyon Healthcare, Inc. — 4 of 16 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	4	40	450	$30	$119.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	16	70	690	$30	$95.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	40	80	310	$20	$27.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	13	30	150	$40	$21.9K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	4	20	50	$50	$20.5K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	2	10	100	$80	$16.4K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3	20	260	$30	$14.7K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	8	10	170	$50	$14.7K
99336	N/A	6	20	220	$10	$14.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	3	40	180	$20	$14K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jesse Twu	UT	Nurse Practitioner	$252.5K	$0
Grant Needham	UT	Physician Assistant	$227.5K	$0
Tyler Barney	UT	Family Medicine Physician	$200.2K	$0
Bryce Lunt	AZ	Family Medicine Physician	$193.4K	$0
Mahana Fisher	UT	Family Medicine Physician	$144.9K	$10.4K
Jessinna Nielson	UT	Family Nurse Practitioner	$66.7K	$0
Sarah Figorski	UT	Acute Care Nurse Practitioner	$60.7K	$0
Andrea Martinez	UT	Family Nurse Practitioner	$50.2K	$0
Valarie Jacobs	UT	Family Nurse Practitioner	$40.7K	$0
Carli Thompson	UT	Family Nurse Practitioner	$39.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Davis Behavioral Health Inc	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$70.8M
Davis Hospital & Medical Center LP	UT	General Acute Care Hospital	$0	$22.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$11.6M
Tanner Memorial Clinic	UT	Internal Medicine Physician	$0	$8.1M
Layton City Corporation	UT	Land Ambulance	$377.7K	$4.7M
Hillfield Pediatric & Family Dentistry Inc.	UT	General Practice Dentistry	$0	$3.1M
Catalyst Behavior Solutions	UT	Community/Behavioral Health Agency	$0	$2.8M
Silver Lake Healthcare, Inc.	UT	Community Based Hospice Care Agency	$0	$2.4M
Scott Folkman	UT	Pediatric Dentistry	$0	$2M
Discovery House Lt, Inc.	UT	Methadone Clinic	$76.3K	$1.8M

Canyon Healthcare, Inc. — Billing Profile & Reimbursement Data

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Canyon Healthcare, Inc. — 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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