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.

Tooele Valley Urgent Care LLC (NPI 1831147982)

Field	Value
Entity Type	Organization
Organization	Tooele Valley Urgent Care LLC
Address	1244 No. Main St., Ste 201
City	Tooele
State	UT
ZIP	84074
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$751K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	8,180	$70	$564.6K
99203	The provider sees a new 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 provider…	2,600	$70	$169.1K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	4,630	$1	$9.3K
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…	100	$60	$6.1K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	900	$1	$1.8K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	140	$1	$140
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	130	$0	$0
J1100	Injection, dexamethasone sodium phosphate, 1 mg	30	$0	$0
S9088	Services provided in an urgent care center (list in addition to code for service)	20	$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

Tooele Valley Urgent Care LLC — 3 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	48	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…	849	1,360	190	$70	$125K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	55	70	410	$50	$93.9K
99203	The provider sees a new 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 provider…	10	290	100	$70	$37.1K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	8	30	190	$30	$27.6K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	70	110	270	$10	$7.5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	4	200	150	$10	$5.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	37	120	70	$10	$1.5K
S9088	Services provided in an urgent care center (list in addition to code for service)	2	10	320	$0	$0

Nearby Providers

Other providers in the same ZIP code as Tooele Valley Urgent Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Skull Valley Health Care	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$25.8M
Tooele Hospital Corporation	UT	General Acute Care Hospital	$0	$11.6M
Nat-su Behavioral Health LLC	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.3M
Skull Valley Health Clinic	UT	Clinic/Center	$0	$4.5M
Ambulance Services Of Tooele, LLC	UT	Land Ambulance	$372.1K	$3.4M
Goshute Health Care LLC	UT	Clinic/Center	$0	$2.9M
Patrick Green Md PLLC	UT	Primary Care Clinic/Center	$0	$1.8M
Tooele County School District	UT	Local Education Agency (LEA)	$0	$1.4M
Tooele Clinic Corp	UT	Family Medicine Physician	$0	$1.3M
Jim J. Gould, Md PC	UT	Clinic/Center	$0	$1.2M

Tooele Valley Urgent Care LLC — Billing Profile & Reimbursement Data

Sign up for Tooele Valley Urgent Care LLC — Billing Profile & Reimbursement Data policy alerts

Tooele Valley Urgent Care LLC — Billing Profile & Reimbursement Data

Sign up for Tooele Valley Urgent Care LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References