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.

University Of Utah Pediatric Acuity Care (NPI 1770947814)

Field	Value
Entity Type	Organization
Organization	University Of Utah Pediatric Acuity Care
Address	100 N Mario Capecchi Dr
City	Salt Lake City
State	UT
ZIP	84113
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	April 5, 2016

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4,540	$260	$1.2M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3,940	$280	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	5,120	$80	$419.4K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	3,740	$80	$310.3K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	460	$630	$290.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	$70	$3.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$50	$1.3K

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

University Of Utah Pediatric Acuity Care — 5 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	1	10	3,190	$280	$888.6K
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	1	10	1,000	$230	$375.9K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	1	10	40	$610	$88.5K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	1	10	350	$70	$86.8K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1	10	130	$70	$68.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	34	50	180	$50	$37.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	57	70	80	$40	$15.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Utah Pediatric Acuity Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Pediatric Acuity Care	UT	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$7.3M
University Of Utah Pediatric Acuity Care	UT	Pediatric Critical Care Medicine Physician	$0	$1.5M
Daniela Solzbacher	UT	Psychiatry Physician	$31.3K	$0
Michael Voss	IL	Psychiatry Physician	$21.2K	$0
Kamile Weischedel	UT	Psychiatry Physician	$15.3K	$0
Brian Mickey	MI	Psychiatry Physician	$14.2K	$0
Sarah Wetmore	UT	Clinical Social Worker	$6K	$0
Ernest Kendrick	UT	Pediatrics Physician	$5.3K	$0
Matthew Pierson	MD	Child & Adolescent Psychiatry Physician	$2.7K	$0
Jessica Farrar	UT	Psychologist	$2.6K	$0

Nearby Providers

Other providers in the same ZIP code as University Of Utah Pediatric Acuity Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	Children's Hospital	$0	$129.5M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$2.4M
University Of Utah Pediatric Services	UT	Pediatric Cardiology Physician	$0	$2.2M
Ihc Health Services Inc	UT	Pediatric Radiology Physician	$0	$2M
Pediatric Anesthesiologists Inc	UT	Anesthesiology Physician	$0	$2M
University Of Utah Pediatric Services	UT	Pediatrics Physician	$0	$1.6M
University Of Utah Pediatric Services	UT	Ophthalmology Physician	$0	$1.3M
University Of Utah Pediatric Services	UT	Child & Adolescent Psychiatry Physician	$0	$1.2M
University Of Utah Pediatric Services	UT	Hematology & Oncology Physician	$0	$925.3K
University Of Utah Pediatric Services	UT	Pediatric Otolaryngology Physician	$0	$843.3K

University Of Utah Pediatric Acuity Care — Billing Profile & Reimbursement Data

Sign up for University Of Utah Pediatric Acuity Care — Billing Profile & Reimbursement Data policy alerts

University Of Utah Pediatric Acuity Care — Billing Profile & Reimbursement Data

Sign up for University Of Utah Pediatric Acuity Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References