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.

Valleylab (NPI 1760965719)

Field	Value
Entity Type	Organization
Organization	Valleylab
Address	4460 S Highland Dr Ste 110
City	Salt Lake City
State	UT
ZIP	84124
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	September 14, 2018

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	42,040	$50	$2.1M
G0481	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…	6,270	$100	$601.5K

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

Valleylab — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0481	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…	3	20	660	$60	$625K
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.	5	70	1,610	$30	$367.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Utah Healthcare Corporation	UT	General Acute Care Hospital	$0	$35.7M
Nomi Health Inc.	UT	Clinical Medical Laboratory	$108.9K	$9.1M
Valley Mental Health Incorporated	UT	Physical Disabilities Residential Treatment Facility	$0	$5M
Utah Healthcare Institute Inc	UT	Family Medicine Physician	$0	$1.9M
Valley Mental Health Incorporated	UT	Home Health Registered Nurse	$0	$1.3M
Creek Capital East Gate LLC	UT	Pediatric Dentistry	$0	$570.9K
Wasatch Endoscopy Center Ltd	UT	Ambulatory Surgical Clinic/Center	$486.9K	$62.1K
St Marks Ambulatory Surgery Associates LP	UT	Ambulatory Surgical Clinic/Center	$512.1K	$0
Adult Care Clinic Inc	UT	Acute Care Nurse Practitioner	$0	$474.8K
James Shortridge	UT	Hematology & Oncology Physician	$221.4K	$177.5K

Valleylab — Billing Profile & Reimbursement Data

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Valleylab — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References