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.

Ihc Health Services Inc (NPI 1831108497)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services Inc
Address	1400 N 500 E
City	Logan
State	UT
ZIP	84341
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicaid	$25.3M
Medicare	$0

Key Findings

Payer mix and scale: IHC HEALTH SERVICES INC reports no Medicare billing on file and $25.3M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid operation in the available data. The absence of Medicare activity means the provider’s reimbursement exposure and growth opportunities in this dataset are concentrated entirely in Medicaid. This concentration increases sensitivity to Medicaid policy and payment changes for this entity.

Extreme revenue concentration in one code: Three Medicaid codes account for 84.3% of the provider’s total Medicaid revenue, with a single code, 8888888, representing $18.7M or 79.4% of Medicaid revenue. That creates a high revenue dependence on one uncoded/undocumented line item and represents a material concentration risk if reimbursement or utilization for that code changes.

Top-code competitive context: Although 8888888 drives the vast majority of revenue ($18.7M, 41.6K claims, $448 avg paid/claim), IHC ranks #10 of 57 providers in-state (84th percentile) for that code and the record label is “typical, unremarkable volume for this code.” In other words, the provider’s dominance of its own revenue is not matched by an unusually anomalous in-state statistical standing for the same code.

Service-line footprint consistent with an acute-care hospital: The Medicaid code mix — including multiple emergency department E/M codes (99284, 99283, 99285, 99282), common lab panels (85025, 80050, 80307, 85027), imaging (93306, 70450, 72148), intravenous administration codes (96374, 96365, 96372), and a surgical debridement code (11042) — aligns with the Taxonomy classification as a General Acute Care Hospital. This pattern points to broad inpatient and outpatient acute-care services with notable ED throughput, on-site laboratory capability, imaging, infusion services, and some procedural/surgical activity.

ED volume and standing: Multiple ED E/M codes show substantial volumes and strong state percentile ranks — 99284 (13K claims, $441.8K revenue; ranks #16 of 192, 92nd percentile), 99283 (11.1K claims, $390.1K; ranks #14 of 186, 93rd percentile), 99285 (7.2K claims, $237K; ranks #20 of 155, 88th percentile), and 99282 (3.8K claims, $166.1K; ranks #9 of 71, 89th percentile). These rank patterns indicate IHC is a meaningful regional ED provider with above-typical ED activity compared with many in-state peers.

Ancillary services and diagnostics: Lab and diagnostic codes have notable contributions and strong relative standing — 85025 (26.1K claims, $677.5K revenue; ranks #7 of 121, 95th percentile; labeled typical, unremarkable volume), 80050 ($363K, ranks #5 of 51, 92nd percentile), 88305 ($101.5K, ranks #14 of 97, 86th percentile), and imaging codes such as 93306 ($178.1K, ranks #17 of 50, 67th percentile) and 70450 ($89.9K, ranks #13 of 70, 83rd percentile). This supports an on-site diagnostic lab and imaging capability that supplements its ED and inpatient services.

Statistical framing and labels: Many high-volume and high-revenue codes are labeled in the source as “typical, unremarkable volume for this code” even when the provider ranks in high percentiles (for example, 85025 at the 95th percentile). This indicates that while IHC often operates at or above peer percentiles for routine services, the dataset’s plain-English labels characterize these volumes as within expected operational ranges for in-state providers rather than extreme outliers.

Tenure and stability: The provider’s NPI was enumerated on 2006-08-05 (~20 years ago), indicating an established presence in the market. Combined with broad ancillary and ED service lines and sustained Medicaid billing activity, the record is consistent with a stable acute-care hospital focused on Medicaid populations rather than a new entrant or transient facility.

Medicaid: Complete Services Breakdown

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

214 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	41,650	$450	$18.7M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	26,060	$30	$677.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12,990	$40	$480.7K
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.	12,990	$30	$441.8K
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.	11,150	$40	$390.1K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	3,950	$90	$363K
0241U	N/A	2,410	$120	$294.3K
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.	7,180	$30	$237K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	850	$210	$178.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	3,410	$50	$166.9K

Showing 1–10 of 214

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

Ihc Health Services 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

214 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	10	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	10	30	1,760	$50	$1.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	10	20	630	$750	$1.2M
J3490	Unclassified drugs	27	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.	24	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.	20	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.	16	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…	18	40	770	$90	$231.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	11	10	280	$350	$218.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	7	120	1,100	$30	$186.6K

Showing 1–10 of 214

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ihc Health Services Inc, 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	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$54.1M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$19.9M

Nearby Providers

Other providers in the same ZIP code as Ihc Health Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Division - Cvh, LLC	UT	General Acute Care Hospital	$0	$4.4M
Team Recovery	UT	Substance Abuse Rehabilitation Facility	$0	$3M
Cache County School District	UT	Local Education Agency (LEA)	$0	$2.9M
Ihc Health Services Inc	UT	Internal Medicine Physician	$0	$2.8M
Rocky Mountain Emergency Specialists LLC	UT	Emergency Medicine Physician	$0	$2.4M
Corey Walker	UT	Rheumatology Physician	$2.3M	$0
Bear River District Health Dept	UT	Public Health or Welfare Agency	$99.1K	$2.1M
Bear River District Health Dept	UT	Addiction (Substance Use Disorder) Counselor	$0	$1.7M
Daren Gehring	UT	Pediatric Dentistry	$0	$1M
Kenneth Fryer	UT	Pediatric Dentistry	$0	$958K

Ihc Health Services Inc — Billing Profile & Reimbursement Data

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Ihc Health Services Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References