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.

Wasatch Behavioral Health Special Service District (NPI 1669257556)

Field	Value
Entity Type	Organization
Organization	Wasatch Behavioral Health Special Service District
Address	255 S Orem Blvd
City	Orem
State	UT
ZIP	84058
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	August 29, 2023

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	22,840	$50	$1.2M
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	600	$10	$7.1K

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

Wasatch Behavioral Health Special Service District — 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
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	6	70	1,610	$30	$367.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	42	110	310	$20	$21.9K

Nearby Providers

Other providers in the same ZIP code as Wasatch Behavioral Health Special Service District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Retirement, Inc.	UT	Assisted Living Facility	$0	$3.9M
Discovery House Uc, Inc	UT	Methadone Clinic	$0	$2.8M
Advance Medical Services, Inc	UT	Oxygen Equipment & Supplies (DME)	$0	$1.7M
Shruti Sanghvi	UT	Rheumatology Physician	$642.5K	$6.5K
Wilson Senior Solutions, Inc.	UT	In Home Supportive Care Agency	$0	$476.9K
Sandhill Operations LLC	UT	Substance Abuse Rehabilitation Facility	$0	$369.1K
Kimball Taylor	UT	Physical Therapist	$127.1K	$0
Eric Freeman	UT	Interventional Pain Medicine Physician	$108.8K	$9.1K
Bryan Hoelzer	UT	Interventional Pain Medicine Physician	$106.2K	$7.6K
Scott Peterson	UT	Family Medicine Physician	$66.2K	$6.5K

Wasatch Behavioral Health Special Service District — Billing Profile & Reimbursement Data

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Wasatch Behavioral Health Special Service District — Billing Profile & Reimbursement Data

Sign up for Wasatch Behavioral Health Special Service District — 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