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.

Granite School District (NPI 1710065909)

Field	Value
Entity Type	Organization
Organization	Granite School District
Address	2500 S State St
City	Salt Lake City
State	UT
ZIP	84115
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$10.7M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $10.7M in Medicaid revenue, making its effective commercial/payer exposure single-payer Medicaid at the scale reported. The absence of Medicare revenue combined with material Medicaid receipts indicates the organization’s billing activity is focused on state Medicaid programs rather than Medicare populations.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and a single code (T1018) alone represents the entirety of the reported $10.7M Medicaid revenue. This concentration signals that Medicaid reimbursement to this entity is driven by one dominant service line rather than a diversified procedure mix.

T1018 shows 594.8K claims, $18 avg paid/claim, and $10.7M revenue; the provider ranks #1 of 33 in-state for this code (100th percentile) and is described as an "extreme outlier" in state volume. Given the code description (school-based individualized education program (IEP) services, bundled), these figures indicate the LEA is billing school-based IEP services at very large scale relative to other in-state providers.

Two additional codes appear in the top-25 list by claims volume but generate no reported Medicaid revenue for this provider: T1019 (924 claims, $0 avg paid/claim, $0 revenue) and 92507 (3K claims, $0 avg paid/claim, $0 revenue). T1019 ranks #26 of 29 providers in-state (11th percentile) and is characterized as typical/unremarkable volume; 92507 ranks #15 of 67 (79th percentile) and likewise represents routine, non-revenue-driving claim activity. These patterns show substantial claim activity that does not translate into Medicaid dollars for those specific codes.

The code mix and payments profile point to an operational focus on school-based, bundled IEP service delivery rather than discrete high-dollar clinical procedures: T1018’s bundled structure and the low average paid per claim ($18) are consistent with many small-unit school-based reimbursements aggregated across large student caseloads. The presence of speech/communication therapy claims (92507) and personal care activity (T1019) supports an interpretation that services are concentrated on special-education supports and ancillary student care within the LEA setting.

Competitive standing is bifurcated: the provider is a dominant, statewide leader for the T1018 service line (rank #1 of 33, 100th percentile, extreme outlier), while its positions on T1019 and 92507 are modest or typical for in-state peers. For analysts, this suggests the organization is a primary Medicaid IEP service provider in Utah but otherwise a standard participant for related ancillary codes.

The provider’s NPI was enumerated on 2006-11-02 (~20 years ago), indicating long-standing enrollment in federal provider systems. That tenure is consistent with an established school-district Medicaid billing program and supports the view that current Medicaid billing patterns reflect sustained operational practice rather than a recent change in participation.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1018	School-based individualized education program (iep) services, bundled	594,800	$20	$10.7M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,960	$0	$0
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	920	$0	$0

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

Granite School District — 1 of 1 code 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1018	School-based individualized education program (iep) services, bundled	1	30	13,980	$30	$2.2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	26	30	6,130	$110	$1.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	15	70	1,030	$10	$27.1K

Nearby Providers

Other providers in the same ZIP code as Granite School District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abs Utah, P.C.	UT	Community/Behavioral Health Agency	$0	$197.1M
Acorn Care LLC	UT	In Home Supportive Care Agency	$0	$28.3M
Rathburn Healthcare LLC	UT	Home Health Agency	$0	$19.1M
Salt Lake Homecare	UT	Home Health Agency	$0	$8.7M
Norco, Inc.	UT	Durable Medical Equipment & Medical Supplies	$0	$8M
City Of South Salt Lake	UT	Land Ambulance	$93.1K	$6.7M
Care Advocates LLC	UT	Case Management Agency	$0	$6.2M
Advocates For Independence LLC	UT	Case Management Agency	$0	$5.9M
Discovery House Utah, Inc.	UT	Methadone Clinic	$132.4K	$4.7M
Duramed LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$4.1M

Granite School District — Billing Profile & Reimbursement Data

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Granite School District — 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

Nearby Providers

Frequently Asked Questions

References