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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIntermountain Orthopedic Care, LLC
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    Intermountain Orthopedic Care, LLC — Billing Profile & Reimbursement Data

    NPI 1699798827 · Pleasant Grove, UT · Customized Equipment (DME)

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    Intermountain Orthopedic Care, LLC is a customized equipment (dme) provider located in Pleasant Grove, Utah. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationIntermountain Orthopedic Care, LLC
    Address471 E 1000 S Ste E
    CityPleasant Grove
    StateUT
    ZIP84062
    TaxonomyCustomized Equipment (DME)
    NPI EnumeratedJuly 26, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$841.6K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    L1907Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated490$560$273.1K
    L2280Addition to lower extremity, molded inner boot1,250$190$230.7K
    L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined2,150$60$124.7K
    L2232Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only1,680$50$90.6K
    L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each2,240$30$67.3K
    L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated130$350$46K
    L2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad100$40$4.1K
    E0667Segmental pneumatic appliance for use with pneumatic compressor, full leg50$40$2.3K
    E0651Pneumatic compressor, segmental home model without calibrated gradient pressure30$60$1.5K
    L2200Addition to lower extremity, limited ankle motion, each joint20$70$1.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    L1907Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated110490$560$273.3K
    L2280Addition to lower extremity, molded inner boot110680$170$117.3K
    L2232Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only1101,680$50$89.8K
    L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated110120$330$40.7K
    L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined11040$60$32.4K
    L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each11020$30$22.7K
    L2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad110100$40$4K
    E0667Segmental pneumatic appliance for use with pneumatic compressor, full leg11050$40$2.3K
    L2200Addition to lower extremity, limited ankle motion, each joint210160$10$1.9K
    E0651Pneumatic compressor, segmental home model without calibrated gradient pressure11030$60$1.5K

    Nearby Providers

    Other providers in the same ZIP code as Intermountain Orthopedic Care, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Green House Center For Growth And LearningUTClinical Social Worker$0$3.2M
    Alpine Pediatrics, PCUTPediatrics Physician$0$2.4M
    Premier Family MedicalUTFamily Medicine Physician$0$1.8M
    Welcome Home Assisted Living Of American ForkUTAssisted Living Facility$0$1.7M
    Spectrum AcademyUTLocal Education Agency (LEA)$0$1.4M
    Trumobility Inc.UTDurable Medical Equipment & Medical Supplies$0$981.6K
    Surgery Center At Grove Creek, LLCUTAmbulatory Surgical Clinic/Center$768.7K$0
    4 The YouthUTSocial Worker$0$691.7K
    R. Bruce Howell D.d.s., M.s.UTPediatric Dentistry$0$575.3K
    Cataract & Lasik Center Of Utah PCUTAmbulatory Surgical Clinic/Center$440.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Intermountain Orthopedic Care, LLC — 4 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah