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.

Valley Obstetrics And Gynecology, PC (NPI 1699977496)

Valley Obstetrics And Gynecology, PC is a obstetrics & gynecology physician provider located in Provo, Utah. This profile covers 0 Medicare and 14 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	Valley Obstetrics And Gynecology, PC
Address	585 N 500 W
City	Provo
State	UT
ZIP	84601
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 4, 2007

Payer Source	Total Paid
Medicaid	$452.1K
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	180	$1,550	$284.3K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	100	$540	$52.1K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	640	$60	$41.1K
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…	500	$50	$26.1K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	320	$50	$14.8K
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…	210	$70	$14.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	180	$40	$7.3K
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…	60	$70	$4.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	100	$30	$2.9K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	250	$10	$2.5K

Showing 1–10 of 14

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

Valley Obstetrics And Gynecology, PC — 1 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	3	10	60	$1,680	$152.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	89	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…	662	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…	440	1,360	190	$70	$125K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	17	30	160	$50	$38K
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…	172	290	100	$70	$37.1K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	11	50	110	$70	$28.2K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	17	50	160	$50	$26.6K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	1	10	40	$480	$23.6K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	48	90	230	$30	$23.2K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Jessica Hunn	UT	Gynecologic Oncology Physician	$75.1K	$0
Chad Lunt	UT	Obstetrics Physician	$22.2K	$700
Joel Webb	NM	Gynecologic Oncology Physician	$22.6K	$0
Jeffrey Rogers	UT	Obstetrics & Gynecology Physician	$15.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wasatch Behavioral Health Special Service District	UT	Community/Behavioral Health Agency	$0	$178.1M
Provo City Corporation	UT	Land Ambulance	$161.1K	$3.7M
Utah County Government	UT	Public Health or Welfare Agency	$141K	$3M
Utah County Department Of Drug And Alcohol Prevention And Treatment	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.5M
Country View Assisted Living LLC	UT	Assisted Living Facility	$0	$2.3M
Kevin Markham	UT	Pediatric Dentistry	$0	$977.4K
Bryce Bott	UT	Pediatric Dentistry	$0	$794.2K
Ach Provo, LLC	UT	In Home Supportive Care Agency	$0	$761.3K
Trace Lund	UT	Pediatric Dentistry	$0	$450.4K
Ardu LLC	UT	Substance Abuse Rehabilitation Facility	$0	$436K

Valley Obstetrics And Gynecology, PC — 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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