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 1962412486)

Field	Value
Entity Type	Organization
Organization	Ihc Health Services Inc
Address	9660 S 1300 E
City	Sandy
State	UT
ZIP	84094
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Key Findings

IHC HEALTH SERVICES INC is effectively a single-payer Medicaid facility in the available data: there is no Medicare billing on file while Medicaid revenue totals $11.7M. This means all documented public-payer outpatient and procedure activity in our dataset is captured through Medicaid, so payer-mix risk and reimbursement sensitivity will be concentrated in state Medicaid policies and rates rather than Medicare dynamics.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 86.9% of this provider's total Medicaid revenue. This indicates that a very small set of services — dominated by a single, large line item — drives the vast majority of reported Medicaid income, making the provider financially sensitive to utilization or pricing changes for those codes.

The single largest Medicaid code is 8888888, generating $9.2M (81.6% of Medicaid revenue) from 23K claims at $401 average paid/claim; the provider ranks #19 of 57 in-state (68th percentile) for this code. Although that revenue share is dominant, the rank/percentile indicates the provider is not the statewide leader for this code but rather a typical-volume participant among peers that nonetheless derives outsized revenue from it.

Lab and ED services appear to be significant operational lines for this facility based on the code mix: 85025 (CBC) and 80050/80053 (lab panels) are among the top Medicaid codes, and multiple emergency department E/M codes (99282–99285, notably 99284 and 99283) also appear in the top list. This mix suggests the site operates an acute care hospital with substantial ED throughput and integrated laboratory services supporting that care.

Emergency-department and infusion-related codes together form a meaningful share of remaining revenue beyond the dominant 8888888 entry: codes such as 96374, 96375, 96365, 96372 and J-class infusion/injection codes (J2704, J1885, J3010, J1100) are present across many claims, indicating frequent use of IV/IM medication administration and procedural care consistent with ED and inpatient acute services. Individual revenues for these codes are modest relative to the 8888888 entry but represent routine, high-frequency clinical activity.

Competitive standing across listed Medicaid codes is generally in the middle-to-upper tiers of in-state peers: many codes show percentiles in the 60s–80s (for example, 85025 at the 83rd percentile, 99283 at the 84th, and 99284 at the 84th), implying consistently typical-to-above-typical volume across a broad range of services rather than dominance on most lines. There are no descriptors labeling any code as an extreme outlier; most are described as typical, unremarkable volume within their peer sets.

Tenure is long: the provider’s NPI was enumerated on 2006-08-08, indicating roughly 20 years of registration in the NPI system. That longevity supports the interpretation that the observed Medicaid activity represents an established facility rather than a new entrant or short-lived operation.

Because one code (8888888) accounts for $9.2M of $11.7M in Medicaid revenue, payer/contracting teams and analysts should prioritize verifying the clinical and contractual context for that specific code when modeling revenue risk or negotiating Medicaid rates. A change in utilization or reimbursement for that single dominant code would materially affect the provider’s Medicaid revenue profile.

Medicaid: Complete Services Breakdown

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

110 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
8888888	N/A	23,000	$400	$9.2M
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…	10,110	$30	$343.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,790	$50	$260.3K
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.	5,760	$40	$236.2K
0241U	N/A	1,630	$130	$204.1K
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.	7,260	$20	$116.1K
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…	1,300	$90	$115.6K
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…	780	$140	$107K
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.	1,580	$50	$79.2K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	4,080	$20	$73.5K

Showing 1–10 of 110

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

110 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
8888888	N/A	19	60	8,900	$400	$9.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	18	30	1,760	$50	$1.6M
J3490	Unclassified drugs	31	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.	32	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.	30	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.	32	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…	21	40	770	$90	$231.9K
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…	21	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.	18	50	4,040	$30	$186.4K
J0690	Injection, cefazolin sodium, 500 mg	12	30	960	$90	$162.4K

Showing 1–10 of 110

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
Multicultural Counseling Center, LLC	UT	Clinical Social Worker	$0	$4.7M
Platinum Venture Group LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Live For Life Behavioral Health, LLC	UT	Mental Health Counselor	$0	$792.7K
Ihc Health Services Inc	UT	Pediatrics Physician	$0	$534.6K
Ihc Health Services Inc	UT	Emergency Medicine Physician	$0	$345.5K
Insight Family Practice LLC	UT	Family Nurse Practitioner	$0	$313.3K
Joseph Fyans	UT	Physical Medicine & Rehabilitation Physician	$276.2K	$0
Jesse Walker	UT	Physical Medicine & Rehabilitation Physician	$210.3K	$0
Michael Chen	UT	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$149.8K	$300
Mark Rada	UT	Internal Medicine Physician	$148K	$0

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