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.

San Juan County Hospital (NPI 1821045840)

Field	Value
Entity Type	Organization
Organization	San Juan County Hospital
Address	735 S 200 W
City	Blanding
State	UT
ZIP	84511
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$386.2K
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
T1015	Clinic visit/encounter, all-inclusive	4,160	$70	$295.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,990	$30	$59.7K
99214	The 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…	1,470	$20	$25K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	120	$30	$3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	30	$80	$2.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$70	$1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	40	$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

San Juan County Hospital — 0 of 6 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
T1015	Clinic visit/encounter, all-inclusive	13	70	270	$110	$376.1K
99214	The 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…	248	1,340	200	$80	$144K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	198	1,360	190	$70	$125K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	65	90	120	$40	$41.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	145	170	80	$100	$35.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	329	610	140	$10	$13.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	300	500	70	$10	$3.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with San Juan County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Hugentobler	CO	Foot & Ankle Surgery Podiatrist	$1.9M	$0
San Juan County Hospital	UT	Rural Health Clinic/Center	$0	$702.8K
San Juan County Hospital	UT	Critical Access Hospital	$0	$519K
Ralph Reed	UT	Diagnostic Radiology Physician	$324.6K	$0
Tanner Harmon	UT	Diagnostic Radiology Physician	$254.5K	$0
Phillip Fairbourn	UT	Diagnostic Radiology Physician	$193.2K	$760
Adam Green	UT	Diagnostic Radiology Physician	$169.6K	$0
Jason Eves	UT	Diagnostic Radiology Physician	$167.3K	$0
Mahana Fisher	UT	Family Medicine Physician	$144.9K	$10.4K
Derek Bergeson	UT	Diagnostic Radiology Physician	$140.5K	$0

Nearby Providers

Other providers in the same ZIP code as San Juan County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Juan Mental Health-substance Abuse Special Service District	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.1M
Guardian Flight LLC	UT	Air Ambulance	$470.2K	$3.8M
Utah Navajo Health System, Incorporated	UT	Family Medicine Physician	$0	$2.5M
Blue Mountain Hospital	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Acorn Care LLC	UT	In Home Supportive Care Agency	$0	$1.2M
Blue Mountain Hospital	UT	Critical Access Hospital Clinic/Center	$0	$567.4K
Precision Rehabilitation PC	UT	Physical Therapist	$0	$398.1K
San Juan School District	UT	Local Education Agency (LEA)	$0	$361.3K
Richard Ward	UT	Physical Therapist	$76.6K	$0
Lloyd Jones	UT	Family Medicine Physician	$39K	$9.4K

San Juan County Hospital — Billing Profile & Reimbursement Data

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San Juan County Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References