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 1912014358)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services, Inc.
Address	170 N 1100 E
City	American Fork
State	UT
ZIP	84003
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$17.2M
Medicare	$0

Key Findings

IHC HEALTH SERVICES, INC. appears to operate primarily as an acute care facility with heavy outpatient and emergency workflows; the Medicaid top codes are dominated by an unlabeled high-revenue code 8888888 alongside infusion and laboratory/E&M codes such as 96374, 85025, 99283–99285, and 96365/96372 which reflect substantial IV medication administration, basic hematology panels, and frequent ED evaluation and management encounters. This mix suggests the provider does significant procedural and emergency treatment throughput rather than being a specialty clinic focused on a narrow procedural line.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 84.5% of the provider's total Medicaid revenue, and a single code, 8888888, generates $12.7M or 78.1% of Medicaid revenue. This indicates extreme dependence on a very small set of billing codes for the provider’s financial performance under Medicaid.

From a payer-mix perspective this entity is effectively single-payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $17.2M. The absence of Medicare revenue combined with meaningful Medicaid revenue implies the provider’s public-payer exposure is concentrated in Medicaid rather than being balanced across Medicare and Medicaid.

Competitive standing on Medicaid for the largest code is modest relative to in-state peers: 8888888 activity ranks #15 of 57 providers in the state and sits at the 75th percentile, indicating a solid but not dominant position for that high-revenue code. Other high-volume codes show generally high in-state percentile placement (for example 96374 at the 83rd percentile, 85025 at the 93rd percentile, and several ED E/M codes at or above the 88–92nd percentiles), which together imply the provider is a notable regional participant across emergency, infusion, and routine lab services.

Operational implications: frequent use of infusion/IV administration codes (96374, 96365, 96372, 96375) and analgesic/anesthetic injections (J1885, J2704, J3010, J1170) combined with high volumes of ED E/M codes (99282–99285) point to a care model centered on emergency department throughput with accompanying procedural medication administration and on-site lab/radiology support. The presence of broad lab panel codes (80050, 85025, ) and imaging codes (, , ) supports a full-service hospital outpatient operation.

Tenure: the provider’s NPI was enumerated ~20 years ago (2006-08-23), indicating long-standing enrollment and the potential for established referral patterns and patient flows within the regional healthcare market.

Statistical standing nuance: most listed codes are described as "typical, unremarkable volume for this code" despite often-high percentile rankings; this suggests the provider’s volumes sit within expected regional norms rather than representing extreme outliers, with the exception of the revenue concentration in 8888888 which is an outsize revenue driver but still a typical-volume rank (75th percentile) for that specific code.

Medicaid: Complete Services Breakdown

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

145 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	30,800	$410	$12.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,300	$50	$520K
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…	20,740	$30	$518.5K
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.	10,370	$30	$352.5K
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.	12,970	$30	$337.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	2,930	$100	$296K
0241U	N/A	1,910	$130	$248.7K
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…	1,800	$80	$149.4K
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.	5,620	$20	$106.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,480	$40	$99.4K

Showing 1–10 of 145

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

145 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	15	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	13	30	1,760	$50	$1.6M
J3490	Unclassified drugs	24	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.	30	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.	23	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.	17	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…	20	40	770	$90	$231.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	8	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…	10	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.	9	50	4,040	$30	$186.4K

Showing 1–10 of 145

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	General Acute Care Hospital	$0	$25.3M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M

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
Alpine School District	UT	Local Education Agency (LEA)	$0	$8.4M
Star Kids	UT	Home Health Agency	$0	$5M
American Fork City Corporation	UT	Land Ambulance	$188.3K	$2.8M
Alliance Youth Services	UT	Foster Care Agency	$0	$2.5M
Smith And Macdonald Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.3M
North Valley Emergency Physicians Lc	UT	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.5M
Michael Whiting	UT	Pediatric Adolescent Medicine Physician	$0	$827.1K
Chad Gollaher	UT	Pediatric Dentistry	$0	$759.4K
David Macdonald	UT	Pediatric Dentistry	$0	$729.9K
Don Boren	UT	General Practice Dentistry	$0	$679.4K

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