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.

Families First Pediatrics (NPI 1669424099)

Key Findings

Field	Value
Entity Type	Organization
Organization	Families First Pediatrics
Address	2025 W 200 N Ste 2
City	Kaysville
State	UT
ZIP	84037
Taxonomy	Pediatrics Physician
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

This provider is effectively a Medicaid-only practice: there is no Medicare billing on file while reported Medicaid revenue totals $7.7M, indicating reliance on a single public payer for the bulk of reimbursements. That payer concentration frames the provider’s commercial negotiating leverage and risk exposure to Medicaid policy changes.

Revenue is highly concentrated in a small set of outpatient E/M and preventive codes: the precomputed top three Medicaid codes by revenue account for 78.8% of total Medicaid revenue, led by 99213 ($3.3M, 42.9%), 99214 ($2M, 25.8%), and 99391 ($770.6K, 10.1%). This concentration signals that routine office visits and well-child encounters are the primary revenue drivers for the practice.

The code mix points to a community pediatric primary-care model focused on high-volume established patient visits and preventive services: 99213 (53K claims) and 99214 (22.8K claims) dominate visit volume, while strong utilization of 99391 (9.5K claims), 99392 (8.7K claims), and 99393 (4.3K claims) indicates sustained throughput of well-child and periodic preventive visits across ages. Ancillary services tied to routine pediatrics — immunizations and in-office testing — appear embedded in workflow rather than specialty procedures.

On competitive standing, this provider is a major statewide player for pediatric office and preventive visit codes: 99213 ranks #6 of 1355 in-state and is labeled an extreme outlier, 99214 ranks #12 of 1340 (notably above typical), and 99391 ranks #4 of 218 (extreme outlier). Those placements imply substantially higher-than-typical Medicaid volume for core pediatric visit codes versus peers in Utah.

Operational profile includes unusually high after-hours or nontraditional-hour encounters: 99051 shows 23.2K claims and ranks #1 of 78 in-state (extreme outlier), suggesting the practice delivers a large share of encounters outside typical office hours. This pattern is consistent with extended-hours access, urgent-care–style throughput, or systematic coding of evening/weekend visits as part of routine access strategy.

Preventive care and immunization throughput is also a notable feature: vaccine administration codes such as 90471 (22.2K claims, ranks #4 of 605, extreme outlier), 90472 (12.8K claims, ranks #5 of 318, 99th‑percentile label present in source), and vaccine product code 90698 (ranks #1 of 72, extreme outlier) reflect high-volume vaccination activity that aligns with the strong well-child visit counts. This supports a model that combines routine well visits with in-clinic immunization delivery at scale.

The practice shows high utilization of rapid point-of-care and molecular diagnostics common in pediatric acute care: 87807 (987 claims) ranks #1 of 28 in-state (extreme outlier) for RSV testing, 87428 (2.2K claims, $79.9K) ranks #3 of 46 (notably above typical) for multiplex respiratory panels, and streptococcal testing codes 87651/87880 appear prominently. Together these patterns indicate frequent in-office testing to manage acute respiratory and throat illnesses.

The provider has long tenure in the Medicare/Medicaid ecosystem, with an NPI enumerated on 2006-05-16 (~20 years ago), which coupled with $7.7M in Medicaid revenue and the concentrated E/M/preventive mix suggests an established, high-throughput pediatric primary care operation that is a dominant Medicaid outpatient provider in its state for core pediatric services.

Medicaid: Complete Services Breakdown

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	53,000	$60	$3.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	22,760	$90	$2M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,510	$80	$770.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,680	$90	$763.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,300	$70	$296.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,160	$90	$106.5K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	2,160	$40	$79.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,460	$50	$72.8K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	23,150	$1	$46.3K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	2,020	$20	$36.3K

Showing 1–10 of 80

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

Families First Pediatrics — 15 of 25 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

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12	1,340	200	$80	$144K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	6	1,360	190	$70	$125K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	39	70	410	$50	$93.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	200	240	$90	$85.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	64	160	250	$50	$76.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4	220	200	$80	$74K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3	190	150	$80	$58.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	126	290	100	$70	$37.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	14	170	80	$100	$35.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4	150	60	$70	$32.2K

Showing 1–10 of 80

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Families First Pediatrics LLC	UT	Pediatric Adolescent Medicine Physician	$0	$518.8K
Kristen Cox	UT	Nurse Practitioner	$31.4K	$40.4K
Jody Jeppson Dutremble	UT	Physician Assistant	$13.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Anthem Dialysis LLC	UT	Renal Dialysis Technician	$0	$527.7K
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

Families First Pediatrics — Billing Profile & Reimbursement Data

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Families First Pediatrics — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References