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.

Lone Peak Hospital, Inc. (NPI 1770821571)

Field	Value
Entity Type	Organization
Organization	Lone Peak Hospital, Inc.
Address	11925 S State St
City	Draper
State	UT
ZIP	84020
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 29, 2013

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	10,440	$340	$3.5M
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.	3,140	$30	$97.4K
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.	3,970	$20	$87.4K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	220	$280	$61.6K
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.	3,750	$10	$45K
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…	600	$40	$26.5K
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.	620	$40	$24.3K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	2,790	$10	$19.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	460	$40	$16.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	470	$40	$16.4K

Showing 1–10 of 65

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

Lone Peak Hospital, Inc. — 0 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

65 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	28	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	25	30	1,760	$50	$1.6M
J3490	Unclassified drugs	32	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.	48	70	1,610	$30	$367.9K
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.	57	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.	40	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…	23	40	770	$90	$231.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	29	50	4,040	$30	$186.4K
J0690	Injection, cefazolin sodium, 500 mg	32	30	960	$90	$162.4K
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.	46	190	250	$40	$146.8K

Showing 1–10 of 65

Nearby Providers

Other providers in the same ZIP code as Lone Peak Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beechtree Diagnostics LLP	UT	Clinical Medical Laboratory	$1M	$34.7M
Utah Case Management	UT	Case Management Agency	$0	$13.3M
After Hours Medical LLC	UT	Urgent Care Clinic/Center	$0	$3.2M
Rocky Mountain Laboratories LLC	UT	Clinical Medical Laboratory	$224.5K	$2.1M
Utnv Draper Operator, LLC	UT	Assisted Living Facility	$0	$2.2M
Beechtree Molecular Lab LLC	UT	Clinical Medical Laboratory	$236.8K	$862.7K
Draper City	UT	Ambulance	$115.3K	$978.1K
Spencer Hardenbrook	UT	Family Medicine Physician	$965.5K	$3.7K
Jeffrey Welch	UT	General Practice Dentistry	$0	$856.8K
Utah Surgery Center LP	UT	Ambulatory Surgical Clinic/Center	$473.4K	$337.9K

Lone Peak Hospital, Inc. — Billing Profile & Reimbursement Data

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Lone Peak Hospital, Inc. — 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