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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMoab Valley Healthcare, Inc
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    Moab Valley Healthcare, Inc — Billing Profile & Reimbursement Data

    NPI 1770513236 · Moab, UT · Critical Access Hospital

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    Moab Valley Healthcare, Inc is a critical access hospital provider located in Moab, Utah. This profile covers 0 Medicare and 53 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMoab Valley Healthcare, Inc
    Address450 W Williams Way
    CityMoab
    StateUT
    ZIP84532
    TaxonomyCritical Access Hospital
    NPI EnumeratedJuly 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    53 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4,370$220$949.2K
    80053The 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.3,600$200$702.6K
    81000The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…2,170$40$95.3K
    87635Using 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…1,220$50$59.7K
    99284The 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.2,250$20$51.8K
    99283The 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.1,560$20$35.9K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…360$90$33.2K
    J2001Injection, lidocaine hcl for intravenous infusion, 10 mg50$560$29.1K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…260$90$24.6K
    J2405Injection, ondansetron hydrochloride, per 1 mg410$60$24.2K

    Showing 1–10 of 53

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    53 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8888888N/A56608,900$400$9.5M
    J3490Unclassified drugs2630150$90$520.6K
    99285The 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.54160190$70$283.2K
    99284The 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.52190200$50$239.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…341201,100$30$186.6K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.42504,040$30$186.4K
    A9270Non-covered item or service12201,600$40$147.9K
    99283The 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.60190250$40$146.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.26240220$50$145.2K
    99214The 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…1971,340200$80$144K

    Showing 1–10 of 53

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Moab Valley Healthcare, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allen Memorial Hospital CorporationIAEmergency Medicine Physician$0$6.9M
    Ron LordUTOphthalmology Physician$3.2M$0
    Allen Memorial Hospital CorporationIAWomen's Health Nurse Practitioner$0$2.1M
    Shane GagonUTFamily Medicine Physician$535.8K$0
    Kim BrandauUTColon & Rectal Surgery Physician$351.1K$0
    Garrett CaputoCOEmergency Medicine Physician$283.8K$0
    Christopher HullUTDermatology Physician$195.8K$0
    Caroline LaggisCODermatology Physician$187.4K$0
    Alexander MeiningerCOSports Medicine (Orthopaedic Surgery) Physician$164K$0
    Eric LewisMSOrthopaedic Surgery Physician$102K$0

    Nearby Providers

    Other providers in the same ZIP code as Moab Valley Healthcare, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Utah State UniversityUTDevelopmentally Disabled Services Day Training Agency$0$1.8M
    Grand County Emergency Medical Services Special Service DistrictUTAmbulance$173.6K$211.7K
    Dillon Companies LLCUTCommunity/Retail Pharmacy$118.1K$0
    Rhonda CowernUTPhysical Therapist$48K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Moab Valley Healthcare, Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah