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.

Garfield County (NPI 1760684815)

Field	Value
Entity Type	Organization
Organization	Garfield County
Address	200 N 400 E
City	Panguitch
State	UT
ZIP	84759
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	June 1, 2007

Payer Source	Total Paid
Medicaid	$310.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	2,260	$70	$155.6K
T1015	Clinic visit/encounter, all-inclusive	3,880	$40	$135.8K
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…	170	$120	$19.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10	$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

Garfield County — 0 of 3 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	16	70	270	$110	$376.1K
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…	707	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…	174	1,360	190	$70	$125K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	586	610	140	$10	$13.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Garfield County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ron Lord	UT	Ophthalmology Physician	$3.2M	$0
Richard Corey	UT	Retina Specialist (Ophthalmology) Physician	$3M	$50.1K
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Corey Walker	UT	Rheumatology Physician	$2.3M	$0
Claron Alldredge	UT	Ophthalmology Physician	$1.3M	$0
Jamison Jones	UT	Cardiovascular Disease Physician	$1M	$0
Ihc Health Services Inc	UT	Pediatrics Physician	$0	$589.2K
Viktoria Kaplan	UT	Neurology Physician	$517.8K	$0
David Cragun	UT	Cardiovascular Disease Physician	$465.1K	$940
Daniel Lupash	UT	Rheumatology Physician	$423.3K	$0

Nearby Providers

Other providers in the same ZIP code as Garfield County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Garfield County	UT	Critical Access Hospital	$0	$313.9K
Shane Jensen	UT	Optometrist	$80.9K	$141.6K
Devin Albrecht	UT	Orthopedic Physical Therapist	$120.8K	$0

Garfield County — Billing Profile & Reimbursement Data

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Garfield County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References