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.

Utah Regional Hospitalists LLC (NPI 1962821223)

Utah Regional Hospitalists LLC is a hospitalist physician provider located in Murray, Utah. This profile covers 0 Medicare and 66 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Utah Regional Hospitalists LLC
Address	5505 S 900 E Ste 240
City	Murray
State	UT
ZIP	84117
Taxonomy	Hospitalist Physician
NPI Enumerated	April 15, 2014

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	46,750	$50	$2.2M
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	65,090	$30	$1.9M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	11,940	$80	$895.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	30,530	$20	$580K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	9,260	$50	$435.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10,120	$40	$364.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,480	$150	$225.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	5,090	$30	$152.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,230	$70	$146.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3,580	$10	$50.2K

Showing 1–10 of 66

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

Utah Regional Hospitalists LLC — 12 of 23 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1	40	450	$30	$119.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	90	460	$50	$115K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	9	50	280	$140	$109.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	70	690	$30	$95.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	90	140	$90	$56K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4	100	200	$30	$53.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	50	180	$50	$37.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	5	80	310	$20	$27.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2	60	70	$70	$26.7K
99418	The provider spends additional time on an inpatient or observation evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	7	10	200	$50	$23.4K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Robison	AZ	Interventional Cardiology Physician	$598.1K	$0
Garth Muir	UT	Internal Medicine Physician	$403.2K	$24.3K
John Hemmersmeier	UT	Family Medicine Physician	$382K	$0
Gregory Baird	UT	General Practice Physician	$350.3K	$13.4K
David Smith	UT	Internal Medicine Physician	$355.8K	$0
Abdul Fattah Saidi	WA	Interventional Cardiology Physician	$293.8K	$0
Cydney Mortensen	UT	Physician Assistant	$281K	$0
Daniel Wightman	UT	Internal Medicine Physician	$254K	$0
Jesse Twu	UT	Nurse Practitioner	$252.5K	$0
Joshua Oaks	UT	Internal Medicine Physician	$169K	$81.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sssht Opco 1245 E Murray Holladay Road LLC	UT	Assisted Living Facility	$0	$4.3M
Aaron Frodsham	UT	Vascular & Interventional Radiology Physician	$484K	$0
Cottonwood Creek Msl, LLC	UT	Assisted Living Facility	$0	$352.4K
Maximilian Psolka	UT	Ophthalmology Physician	$352.1K	$0
Breton Yates	UT	MOHS-Micrographic Surgery Physician	$336.9K	$0
Stacy Smith	UT	Ophthalmology Physician	$334.8K	$0
Intensive Physical Therapy Institute, LLC	UT	Physical Therapy Clinic/Center	$0	$328.8K
Casey Reynolds	UT	Family Nurse Practitioner	$209.1K	$0
Allan Belcher	UT	Internal Medicine Physician	$200.3K	$0
Steven Crandall	UT	Physical Therapist	$194.3K	$0

Utah Regional Hospitalists LLC — Billing Profile & Reimbursement Data

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Utah Regional Hospitalists 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

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