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.

Central Valley Medical Center (NPI 1881658110)

Field	Value
Entity Type	Organization
Organization	Central Valley Medical Center
Address	48 W 1500 N
City	Nephi
State	UT
ZIP	84648
Taxonomy	Critical Access Hospital
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	2,810	$240	$681K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	8,280	$30	$273.1K
J2405	Injection, ondansetron hydrochloride, per 1 mg	1,080	$190	$203.6K
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…	4,690	$30	$154.7K
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.	940	$140	$130.1K
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.	2,110	$50	$107.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,840	$60	$106.7K
86140	The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.	2,580	$40	$98K
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.	1,770	$50	$79.6K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	570	$100	$57.3K

Showing 1–10 of 62

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

Central Valley Medical Center — 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	40	60	8,900	$400	$9.5M
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.	43	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.	53	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.	54	190	200	$50	$239.5K
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…	32	120	1,100	$30	$186.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	40	50	4,040	$30	$186.4K
J0690	Injection, cefazolin sodium, 500 mg	30	30	960	$90	$162.4K
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.	54	190	250	$40	$146.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	19	240	220	$50	$145.2K
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.	36	40	1,280	$60	$128.4K

Showing 1–10 of 62

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Valley Medical Center	UT	Family Medicine Physician	$0	$1M
Brian Anderson	UT	Neurological Surgery Physician	$95.3K	$4.9K
Bevan Bastian	UT	Diagnostic Radiology Physician	$50.7K	$0
Connie Vail	UT	Diagnostic Radiology Physician	$48.8K	$0
Grant Rasmussen	UT	Family Medicine Physician	$28.9K	$0
Michael Peterson	UT	Internal Medicine Physician	$19.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Juab	UT	Land Ambulance	$116.3K	$46.8K
Brian Gasser	UT	Nurse Practitioner	$63.1K	$3.9K
Richard Anderson	UT	Surgery Physician	$30.3K	$0
Samuel Hadlock	UT	Certified Registered Nurse Anesthetist	$8.5K	$0

Central Valley Medical Center — Billing Profile & Reimbursement Data

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Central Valley Medical Center — 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