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.

Bear Lake Community Health Center, Inc. (NPI 1689754475)

Field	Value
Entity Type	Organization
Organization	Bear Lake Community Health Center, Inc.
Address	325 W. Logan Hwy
City	Garden City
State	UT
ZIP	84028
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	19,130	$150	$2.9M
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…	7,620	$50	$373.4K
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…	10,780	$30	$334.1K
D9999	N/A	860	$130	$107.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,680	$20	$40.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	730	$10	$9.4K
D0150	Comprehensive oral evaluation – new or established patient	30	$160	$4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,890	$1	$3.8K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	160	$20	$2.7K
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…	320	$10	$2.2K

Showing 1–10 of 36

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

Bear Lake Community Health Center, Inc. — 3 of 19 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	338	370	690	$140	$704.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	110	270	$120	$439.4K
T1015	Clinic visit/encounter, all-inclusive	3	70	270	$110	$376.1K
D0120	Periodic oral evaluation - established patient	409	470	460	$80	$149.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	49	240	220	$50	$145.2K
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…	51	1,340	200	$80	$144K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	42	50	90	$190	$136.4K
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…	36	1,360	190	$70	$125K
D9999	N/A	1	10	860	$130	$108K
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…	151	160	250	$50	$76.9K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bear Lake Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.2M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$5.9M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.4M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.1M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.2M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.1M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$509.9K
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$455.8K

Nearby Providers

Other providers in the same ZIP code as Bear Lake Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kam Jarman	UT	Physical Therapist	$151.8K	$0

Bear Lake Community Health Center, Inc. — Billing Profile & Reimbursement Data

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Bear Lake Community Health Center, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References