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.

Ach Provo, LLC (NPI 1902350515)

Field	Value
Entity Type	Organization
Organization	Ach Provo, LLC
Address	363 N University Ave Ste 104
City	Provo
State	UT
ZIP	84601
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 11, 2016

Payer Source	Total Paid
Medicaid	$761.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1021	Home health aide or certified nurse assistant, per visit	12,160	$40	$498.7K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	7,120	$20	$156.6K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	1,830	$40	$73K
T1001	Nursing assessment / evaluation	700	$50	$32.9K

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

Ach Provo, LLC — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1021	Home health aide or certified nurse assistant, per visit	18	40	10,290	$60	$1.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	8	10	5,040	$80	$1.7M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	12	30	6,130	$110	$1.1M
T1001	Nursing assessment / evaluation	33	70	700	$80	$603.4K

Nearby Providers

Other providers in the same ZIP code as Ach Provo, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wasatch Behavioral Health Special Service District	UT	Community/Behavioral Health Agency	$0	$178.1M
Provo City Corporation	UT	Land Ambulance	$161.1K	$3.7M
Utah County Government	UT	Public Health or Welfare Agency	$141K	$3M
Utah County Department Of Drug And Alcohol Prevention And Treatment	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.5M
Country View Assisted Living LLC	UT	Assisted Living Facility	$0	$2.3M
Kevin Markham	UT	Pediatric Dentistry	$0	$977.4K
Bryce Bott	UT	Pediatric Dentistry	$0	$794.2K
Valley Obstetrics And Gynecology, PC	UT	Obstetrics & Gynecology Physician	$0	$452.1K
Trace Lund	UT	Pediatric Dentistry	$0	$450.4K
Ardu LLC	UT	Substance Abuse Rehabilitation Facility	$0	$436K

Ach Provo, LLC — Billing Profile & Reimbursement Data

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Ach Provo, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References