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.

Gunnison Valley Hospital (NPI 1952463036)

Field	Value
Entity Type	Organization
Organization	Gunnison Valley Hospital
Address	64 East 100 North
City	Gunnison
State	UT
ZIP	84634
Taxonomy	Critical Access Hospital
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,320	$100	$415K
8888888	N/A	1,090	$220	$240.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	4,260	$40	$183.1K
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…	2,050	$60	$117K
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.	4,170	$30	$108.4K
J1885	Injection, ketorolac tromethamine, per 15 mg	930	$100	$90.9K
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.	2,720	$30	$73.4K
J2405	Injection, ondansetron hydrochloride, per 1 mg	1,210	$40	$44.6K
J2704	Injection, propofol, 10 mg	640	$50	$33K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	1,610	$10	$21K

Showing 1–10 of 54

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

Gunnison Valley Hospital — 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

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	47	60	8,900	$400	$9.5M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	18	20	630	$750	$1.2M
J3490	Unclassified drugs	20	30	150	$90	$520.6K
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.	128	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.	81	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…	28	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.	43	50	4,040	$30	$186.4K
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.	38	190	250	$40	$146.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	27	240	220	$50	$145.2K
J2704	Injection, propofol, 10 mg	28	40	1,950	$40	$132.3K

Showing 1–10 of 54

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gunnison Valley Hospital	UT	Home Health Agency	$0	$602.7K
Kevin Kirk	UT	Ophthalmology Physician	$557.5K	$0
Robert Pearson	UT	Otolaryngology Physician	$254.8K	$80.8K
Toby Paulson	UT	Cardiovascular Disease Physician	$175.5K	$5.8K
Viliami Vakautakakala	UT	Foot & Ankle Surgery Podiatrist	$165.1K	$0
Ben Robinson	UT	Pediatric Orthopaedic Surgery Physician	$120.4K	$0
Christopher Evensen	UT	Orthopaedic Surgery Physician	$115.2K	$0
Tyler Jolley	TX	Foot & Ankle Surgery Podiatrist	$83.3K	$0
Sean Henderson	UT	Urology Physician	$81.5K	$0
Jason Okerlund	UT	Family Nurse Practitioner	$80.9K	$0

Nearby Providers

Other providers in the same ZIP code as Gunnison Valley Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Therapy West LLC	UT	Physical Therapist	$0	$681.6K
Dallas Overly	UT	Physical Therapist	$147K	$0
Jed Bartholomew	UT	Physical Therapist	$100.9K	$0
Brady Blackham	UT	Family Medicine Physician	$64.5K	$1.3K
Wade Anderson	UT	Physician Assistant	$64.1K	$0
Cary Judy	UT	Family Medicine Physician	$64K	$0
Bevan Bastian	UT	Diagnostic Radiology Physician	$50.7K	$0
Richard Nay	UT	Family Medicine Physician	$8.9K	$33.6K
Gerald Willden	UT	Family Medicine Physician	$25.9K	$15.2K

Gunnison Valley Hospital — Billing Profile & Reimbursement Data

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Gunnison Valley Hospital — 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