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.

Paiute Indian Tribe Of Utah (NPI 1700062296)

Key Findings

Field	Value
Entity Type	Organization
Organization	Paiute Indian Tribe Of Utah
Address	376 N Paiute Dr
City	Cedar City
State	UT
ZIP	84721
Taxonomy	Clinic/Center
NPI Enumerated	January 14, 2008

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

PAIUTE INDIAN TRIBE OF UTAH is effectively a single‑payer outpatient provider: there is no Medicare billing on file and all recorded lifetime federal billing is Medicaid ($16.4M). This concentration makes Medicaid policy and fee schedules the primary drivers of the provider’s revenue and contracting leverage.

Revenue is highly concentrated in a small set of outpatient E/M and behavioral‑health codes: the top 3 Medicaid codes account for 65.8% of total Medicaid revenue, led by 99213 ($5.6M, 34.6%), 90837 ($2.6M, 16.2%), and 99214 ($2.4M, 15.0%). These three codes together dominate the provider’s Medicaid billing profile and represent the core services generating payments.

The code mix indicates a blended primary‑care and behavioral‑health clinic model rather than a narrow specialty practice: high volumes of evaluation and management codes 99213 (12.7K claims, $444 avg paid/claim) and 99214 (5.2K claims, $473 avg paid/claim) sit alongside psychotherapy codes such as 90837 (5.9K claims, $449 avg paid/claim) and H2019 (3.5K claims, $381 avg paid/claim). That mix suggests integrated outpatient visits with substantial time spent on mental‑health treatment as a routine part of the clinic’s operations.

On primary care metrics the provider is a major state‑level participant: 99213 alone accounts for $5.6M (34.6% of Medicaid revenue) and the provider ranks #30 of 1355 in the state (98th percentile; notably above typical state volume for this code), indicating unusually high Medicaid primary‑care visit volume compared with peers. Complementary E/M codes such as 99214 also rank highly (#69 of 1340, 95th percentile), reinforcing the provider’s strong standing in outpatient evaluation and management.

Behavioral‑health services are a sizable secondary revenue stream: psychotherapy code 90837 brings $2.6M (16.2% of Medicaid revenue) and is in the 86th percentile statewide, while shorter psychotherapy codes 90834 ($1.1M, 6.6%) and 90832 ($167.1K, 1.0%) also appear on the top list. Combined, these codes demonstrate a sustained investment in higher‑duration psychotherapy visits rather than only brief assessment codes (90791 appears with $98.5K), indicating clinical capacity for ongoing mental‑health treatment.

The practice also bills a range of ancillary outpatient services that support a full‑service clinic workflow: 87635 (SARS‑CoV‑2 testing) generated $631.6K (3.9%), 96372 (therapeutic/prophylactic injections) generated $557.4K (3.4%), and routine vaccination code 90471 produced $123.1K (0.8%). These entries point to on‑site testing, immunizations, and procedure support that complement primary care and behavioral services.

Several high‑volume codes place the provider well above typical in‑state peers while many other codes reflect typical or modest participation: in addition to 99213 at the 98th percentile, 99212 ranks #12 of 172 (94th percentile) and 87635 ranks #12 of 74 (85th percentile), whereas many behavioral and lab codes fall in middle percentiles and are described as typical or unremarkable. This pattern indicates the provider is a dominant access point for some core outpatient services but a more ordinary participant across the remainder of Medicaid service lines.

The provider has a long enrollment history, enumerated 2008-01-14 (~18 years), which supports continuity of service delivery to its Medicaid population. Given the Medicaid‑only revenue profile, analysts should treat changes in Medicaid reimbursement, state behavioral‑health policy, or local demand for primary‑care office visits as principal risks and levers that will materially affect this provider’s financial performance.

Medicaid: Complete Services Breakdown

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

45 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…	12,720	$440	$5.6M
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…	5,900	$450	$2.6M
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…	5,170	$470	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	3,510	$380	$1.3M
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…	2,120	$510	$1.1M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,820	$350	$631.6K
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…	2,770	$200	$557.4K
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,…	1,060	$500	$531.6K
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…	480	$450	$216.5K
90832	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…	340	$490	$167.1K

Showing 1–10 of 45

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

Paiute Indian Tribe Of Utah — 2 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

45 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…	54	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	30	90	560	$80	$649.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	100	150	1,060	$70	$528.1K
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…	28	110	270	$120	$439.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	59	140	160	$220	$374.1K
90832	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…	41	90	270	$70	$200.4K
0241U	N/A	69	70	770	$130	$162.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	56	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…	69	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…	30	1,360	190	$70	$125K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paiute Indian Tribe Of Utah	UT	Dental Clinic/Center	$0	$1.4M
Daniel Allen	ID	Family Medicine Physician	$493.7K	$0
Steven Newman	UT	Family Medicine Physician	$177.3K	$13.9K
Brad Webb	UT	Foot & Ankle Surgery Podiatrist	$142.1K	$0
Leon Reber	UT	Foot & Ankle Surgery Podiatrist	$140.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M
Cedar View Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.5M
Nathan Call	UT	Pediatric Dentistry	$0	$1.4M
Cedar Orthopaedic Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$726K	$0
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$525K
Brett Robbins Msn Rn Cs Fnp Inc	UT	Family Nurse Practitioner	$0	$475.1K
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$431.9K
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$384.7K
Cedar Dermatology PLLC	UT	Dermatology Physician	$0	$337.8K
Todd Garrett	UT	Internal Medicine Physician	$215.5K	$0

Paiute Indian Tribe Of Utah — 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