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.

Columbia Ogden Medical Center, Inc. (NPI 1720031636)

Field	Value
Entity Type	Organization
Organization	Columbia Ogden Medical Center, Inc.
Address	5475 S 500 E
City	Ogden
State	UT
ZIP	84405
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$17.6M
Medicare	$0

Key Findings

COLUMBIA OGDEN MEDICAL CENTER, INC. is effectively a single-payer Medicaid institution in the available claims data: there is no Medicare billing on file and its reported lifetime Medicaid revenue is $17.6M. This asymmetry means any analysis of the provider’s scale, service mix, or competitive position should be interpreted in the context of Medicaid-dominated activity rather than a split Medicare/Medicaid book of business.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three codes account for 84.6% of the provider’s total Medicaid revenue. Those top contributors are 8888888 ($12M, 70.4% of Medicaid revenue), 36415 (21K claims, $1.9M, 11.2%), and 99283 (15.8K claims, $506.1K, 3.0%), indicating a heavy dependence on a single high-dollar code plus two high-volume clinical codes.

The dominant code 8888888 is listed with no description but represents $12M and 70.4% of Medicaid revenue, signaling that an unspecified service line drives most dollars for this provider. Because that single unlabeled code so strongly dominates revenue, operational or reimbursement changes tied to that code would disproportionately affect total revenue.

Claims-level detail for labeled top codes points to a strong emergency and diagnostic service footprint: 36415 (blood collection) shows 21K claims and ranks #6 of 236 providers in-state (98th percentile), and emergency E/M codes 99283 (15.8K claims, 95th percentile) and 99284 (19.4K claims, 93th percentile) together reflect very large ED throughput. The combination of high phlebotomy volume and high ED visit counts is consistent with a facility that handles substantial acute, walk-in, or emergency diagnostic workups for Medicaid patients.

Lab, imaging, and point-of-care diagnostics are material secondary drivers of activity. High-volume lab panels and tests appear across the list (80053: 17.4K claims, $243.7K; 81003: 4.6K claims, $95.6K and noted as an extreme outlier at the 98th percentile; G0480: 1.7K claims, $106.2K), while imaging codes such as 70450 (2.7K claims, $124.8K) and 71046 (2.9K claims, $94.6K) indicate routine use of CT and chest radiography in ambulatory/outpatient settings.

Several specific codes show above-typical or outlier positioning statewide, supporting a characterization of the provider as a significant in-state volume participant for those services. Examples include 36415 at the 98th percentile (typical, unremarkable volume classification in the dataset despite the high percentile), 99283 at the 95th percentile (notably above typical), 81003 at the 98th percentile (extreme outlier), and 87430 at the 100th percentile (rank #1 of 12 providers; notably above typical).

Operational risk and strategic implications are evident because a single unlabeled code (8888888) supplies 70.4% of Medicaid revenue and the top three codes together supply 84.6% of revenue. That concentration suggests the provider’s financial performance is sensitive to changes in reimbursement policy, coding classification, or utilization for those few services, and any payer negotiations or program audits focusing on those codes would have outsized financial impact.

The provider has a long enrollment history: NPI enumerated 2006-05-19 (~20 years ago), which indicates an established presence in the market. Coupled with the Medicaid-focused revenue profile and the facility’s high-volume ED and laboratory activity, the data point to a stable, Medicaid-oriented acute-care operation with concentrated revenue exposure to a few high-impact codes.

Medicaid: Complete Services Breakdown

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

163 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	38,160	$310	$12M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	21,010	$90	$1.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15,820	$30	$506.1K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	19,400	$20	$368.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	17,410	$10	$243.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,880	$50	$234.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	820	$240	$192.7K
99281	The provider sees a patient for the lowest level emergency department visit.	1,380	$130	$184.5K
J7120	Ringers lactate infusion, up to 1000 cc	1,940	$90	$167.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,710	$50	$124.8K

Showing 1–10 of 163

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

Columbia Ogden Medical Center, Inc. — 4 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

163 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	12	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11	30	1,760	$50	$1.6M
J3490	Unclassified drugs	30	30	150	$90	$520.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	21	70	1,610	$30	$367.9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	19	20	270	$40	$334.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	38	160	190	$70	$283.2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14	190	200	$50	$239.5K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	12	40	770	$90	$231.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	9	10	280	$350	$218.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8	50	4,040	$30	$186.4K

Showing 1–10 of 163

Nearby Providers

Other providers in the same ZIP code as Columbia Ogden Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carl Gray	UT	Hematology & Oncology Physician	$3.9M	$1.7M
Amer Homsi	UT	Vascular Surgery Physician	$3.9M	$0
Ihc Health Services Inc	UT	Home Health Agency	$0	$2.4M
Weber School District	UT	Local Education Agency (LEA)	$0	$2.4M
Applegate Homecare & Hospice, LLC	UT	Home Health Agency	$0	$2.3M
Associates Of Pathology, P.C.	UT	Anatomic Pathology & Clinical Pathology Physician	$0	$1M
Mountainstar Ogden Pediatrics LLC	UT	Pediatrics Physician	$0	$1M
Connect2kids	UT	Foster Care Agency	$0	$986.4K
Apria Healthcare LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$905K
Nph Anesthesia Of Utah, LLC	UT	Anesthesiology Physician	$0	$747K

Columbia Ogden Medical Center, Inc. — Billing Profile & Reimbursement Data

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Columbia Ogden Medical Center, Inc. — 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