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.

Uintah Basin Medical Center (NPI 1871556217)

Field	Value
Entity Type	Organization
Organization	Uintah Basin Medical Center
Address	250 W 300 N
City	Roosevelt
State	UT
ZIP	84066
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 7, 2006

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

Key Findings

UINTAH BASIN MEDICAL CENTER is effectively a single-payer hospital in the dataset: it has no Medicare billing on file and reports $12.9M in lifetime Medicaid revenue. Its NPI was enumerated on 2006-04-07 (~20 years ago), and it is classified as a General Acute Care Hospital, consistent with an established community hospital footprint.

Revenue at this provider is moderately concentrated in a small set of outpatient/ED and procedure codes: the precomputed top-3 Medicaid codes (99283, J2405, 36415) account for 31.9% of the provider's total Medicaid revenue. Individually those top codes are 99283 at $1.2M (11.7%), J2405 at $1.1M (11.4%), and 36415 at $877.5K (8.8%), indicating meaningful dependence on a few high-volume services.

The code mix strongly indicates an emergency-department–centric operating model: high-volume ED E/M codes appear throughout the top billers (99283: 15.7K claims; 99284: 10.5K claims; 99285: 5.1K claims; 99282: 3.3K claims), and several of these ED codes rank well above peers in the state (99283 ranks #11 of 186, 95th percentile; 99284 ranks in the 90th percentile). Combined with frequent use of IV/infusion and procedural meds (J2405, J2704, J7030), the pattern points to a facility that sees heavy ED and same-day procedural throughput rather than primarily elective inpatient surgery.

Lab and diagnostic testing are another clear service line: 36415 (venipuncture) tallies 27.4K claims and ranks #4 of 236 providers in-state (99th percentile), while respiratory/multiplex testing (87631) and COVID specimen collection (C9803) also rank near the top (87631 is #2 of 28, 96th percentile; C9803 is #2 of 7, 83rd percentile). These high ranks and claim volumes support substantial outpatient lab and infectious disease testing activity tied to the hospital’s ED and outpatient clinics.

On competitive standing, the facility is a major in several routine hospital outpatient services within Utah: 36415 and 99283 are both in the top percentiles statewide (99th and 95th respectively), and infusion/IV fluid billing such as J7030 is also notably above typical state volume (ranks #3 of 30, 93rd percentile). That combination of top-tier ranks for basic but high-frequency services suggests the provider is an important regional access point for emergency and outpatient care.

The provider also appears among a small set of in-state billers for a few niche HCPCS items: S0020 (bupivacaine injection) ranks #1 of 4 (100th percentile) with $568.3K revenue and S0119 (ondansetron oral) ranks #1 of 5 (100th percentile) with $181.7K revenue. Although the dataset labels these as "typical, unremarkable volume," being the top-ranked biller for these codes indicates a limited number of facilities in the state reporting these specific supplies or formulations.

Ground ambulance and transport revenue exist but are not dominant: A0425 (ground mileage) generated $143.3K and ranks #36 of 62 (43rd percentile), and A0429 (BLS emergency) generated $142.8K and ranks #41 of 56 (27th percentile). These mid-to-low statewide ranks imply the hospital bills for some ambulance activity but is not a leading provider of transport services in the state.

Overall financial and operational signals from the Medicaid file — $12.9M total Medicaid revenue, heavy share from ED E/M and venipuncture codes, and multiple codes with notably above-typical state volume — indicate a community acute-care hospital that derives a large portion of outpatient revenue from emergency visits, labs, and infusion/medication services rather than high-margin, low-frequency specialty inpatient procedures.

Medicaid: Complete Services Breakdown

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

186 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	15,710	$70	$1.2M
J2405	Injection, ondansetron hydrochloride, per 1 mg	4,930	$230	$1.1M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	27,420	$30	$877.5K
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.	10,450	$80	$805K
S0020	Injection, bupivicaine hydrochloride, 30 ml	360	$1,570	$568.3K
8888888	N/A	4,880	$110	$536.3K
J7050	Infusion, normal saline solution, 250 cc	1,870	$230	$434.8K
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.	5,110	$80	$408.6K
J2704	Injection, propofol, 10 mg	1,990	$200	$397K
J3010	Injection, fentanyl citrate, 0.1 mg	790	$440	$347.9K

Showing 1–10 of 186

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

Uintah Basin Medical Center — 4 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

186 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	33	60	8,900	$400	$9.5M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	41	60	1,370	$720	$3.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	22	30	1,760	$50	$1.6M
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	2	10	2,100	$90	$1.1M
A0425	Ground mileage, per statute mile	36	60	1,510	$20	$628.5K
J3490	Unclassified drugs	9	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.	35	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.	27	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.	21	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…	13	40	770	$90	$231.9K

Showing 1–10 of 186

Related Providers

Other providers that share a Tax Identification Number (TIN) with Uintah Basin Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uintah Basin Medical Center	UT	Rural Health Clinic/Center	$0	$6.9M
Northeastern Utah Medical Group	UT	Family Medicine Physician	$0	$4.6M
Uintah Basin Medical Center	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Uintah Basin Medical Center	UT	Rural Health Clinic/Center	$0	$428.6K
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0
Sean Lawless	UT	Cardiovascular Disease Physician	$401.4K	$0
Sean Paulsen	UT	Diagnostic Radiology Physician	$106.4K	$267K
Jason Larson	UT	Emergency Medicine Physician	$28.8K	$332K
Cameron Evans	WA	Diagnostic Radiology Physician	$254.1K	$0
Joseph Rasband	UT	Diagnostic Radiology Physician	$208.5K	$0

Nearby Providers

Other providers in the same ZIP code as Uintah Basin Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duchesne County School District	UT	Local Education Agency (LEA)	$0	$699.1K
Roosevelt Vision Clinic, PC	UT	Optometrist	$0	$547.4K
Uintah Basin Medical Center	UT	Ambulance	$0	$354.7K
John Blake	UT	MOHS-Micrographic Surgery Physician	$205.3K	$0
Amos Burgess	UT	Emergency Medicine Physician	$27.5K	$176.2K
James White	UT	Physical Medicine & Rehabilitation Physician	$88.6K	$0
Shane Powell	UT	Ophthalmology Physician	$37.4K	$0
James Potter	UT	Anesthesiology Physician	$31.7K	$0
Tanya Boren	UT	Family Nurse Practitioner	$30.2K	$0
John Marett	UT	Family Medicine Physician	$27.5K	$0

Uintah Basin Medical Center — Billing Profile & Reimbursement Data

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Uintah Basin Medical Center — 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