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.

Castleview Physician Practices, LLC (NPI 1811380496)

Castleview Physician Practices, LLC is a hospitalist physician provider located in Price, Utah. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Castleview Physician Practices, LLC
Address	300 N Hospital Dr
City	Price
State	UT
ZIP	84501
Taxonomy	Hospitalist Physician
NPI Enumerated	March 6, 2015

Payer Source	Total Paid
Medicaid	$362.1K
Medicare	$0

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,200	$60	$131.9K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	500	$120	$60.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	450	$90	$39.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,460	$20	$27.6K
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.	610	$30	$16K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	2,820	$10	$14.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	270	$50	$12.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,430	$10	$10K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	320	$30	$9.9K
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.	280	$20	$6.8K

Showing 1–10 of 31

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

Castleview Physician Practices, LLC — 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	74	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.	76	190	200	$50	$239.5K
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.	83	190	250	$40	$146.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	24	80	580	$30	$77.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	21	40	490	$80	$70.8K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	28	70	930	$30	$60.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	96	100	200	$30	$53.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	23	20	170	$120	$51.9K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	35	40	280	$90	$46.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	26	120	260	$10	$29.4K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castleview Physician Practice, LLC	UT	Family Medicine Physician	$0	$653.9K
Castleview Physician Practice, LLC	UT	Surgery Physician	$0	$508.1K
David Cragun	UT	Cardiovascular Disease Physician	$465.1K	$940
David Perry	UT	Cardiovascular Disease Physician	$403.9K	$1.4K
Russell Beecher	UT	Physical Medicine & Rehabilitation Physician	$280K	$0
Eugene Larsen	UT	Internal Medicine Physician	$212K	$0
Joseph Rasband	UT	Diagnostic Radiology Physician	$208.5K	$0
Glenn Etzel	UT	Family Medicine Physician	$158.3K	$0
Kelly Jensen	UT	Orthopaedic Surgery Physician	$111.1K	$6.5K
Brian Griffeth	UT	Foot & Ankle Surgery Podiatrist	$115.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four Corners Community Behavioral Health, Inc.	UT	Community/Behavioral Health Agency	$0	$19.5M
Castleview Hospital LLC	UT	Rural Acute Care Hospital	$0	$6M
Four Corners Community Behavioral Health, Inc.	UT	Community/Behavioral Health Agency	$0	$2.8M
Shane D Gagon Md, PC	UT	Family Medicine Physician	$0	$2.5M
County Of Carbon	UT	Land Ambulance	$322.9K	$1.8M
A Perfect Smile	UT	Dental Clinic/Center	$0	$1M
Four Corners Community Behavioral Health Inc	UT	Methadone Clinic	$0	$817.1K
West Emergency Services, LLC	UT	Emergency Medicine Physician	$0	$810.3K
Southeastern Utah District Health Department	UT	Public Health or Welfare Agency	$28.8K	$666.5K
Carbon School District	UT	Local Education Agency (LEA)	$0	$622.5K

Castleview Physician Practices, LLC — Billing Profile & Reimbursement Data

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Castleview Physician Practices, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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