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 (NPI 1790147833)

Field	Value
Entity Type	Organization
Organization	University Of Utah
Address	6056 S Fashion Square Dr Ste 1000
City	Murray
State	UT
ZIP	84107
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	March 28, 2016

Payer Source	Total Paid
Medicaid	$518.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7527	Everolimus, oral, 0.25 mg	1,190	$180	$207.4K
J7518	Mycophenolic acid, oral, 180 mg	4,970	$40	$178.9K
J7503	Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg	1,400	$50	$67.3K
J7507	Tacrolimus, immediate release, oral, 1 mg	6,190	$10	$49.5K
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	4,200	$1	$8.4K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	120	$50	$6.3K
J7517	Mycophenolate mofetil, oral, 250 mg	70	$10	$590
A9279	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified	60	$0	$0
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	4,580	$0	$0
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	11,470	$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

University Of Utah — 3 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7527	Everolimus, oral, 0.25 mg	1	10	1,190	$170	$206.9K
J7503	Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg	1	10	1,400	$50	$67.8K
J7518	Mycophenolic acid, oral, 180 mg	1	10	170	$40	$62.1K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	3	10	140	$180	$37.8K
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	1	10	100	$30	$18.9K
J7507	Tacrolimus, immediate release, oral, 1 mg	1	10	240	$10	$10.7K
J7517	Mycophenolate mofetil, oral, 250 mg	2	10	310	$1	$1.4K
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	1	10	990	$1	$490
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	1	10	2,780	$1	$300
A9279	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified	1	10	60	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$18.6M
Ddi Vantage	UT	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Home Caregivers Partnership, LLC	UT	Home Health Agency	$0	$10.4M
Gcs Foundation	UT	Supports Brokerage Agency	$0	$6.2M
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$6.1M
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Project Reality	UT	Mental Health Counselor	$0	$5.1M

University Of Utah — Billing Profile & Reimbursement Data

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University Of Utah — 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