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.

Northeastern Utah Medical Group (NPI 1982664199)

Northeastern Utah Medical Group is a family medicine physician provider located in Roosevelt, 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	Northeastern Utah Medical Group
Address	210 W 300 N 7-3
City	Roosevelt
State	UT
ZIP	84066
Taxonomy	Family Medicine Physician
NPI Enumerated	March 23, 2006

Payer Source	Total Paid
Medicaid	$4.6M
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
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	55,540	$50	$2.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	13,510	$70	$985.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,860	$100	$187.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2,320	$50	$122.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,010	$110	$108.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	590	$70	$39.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	820	$40	$32.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	960	$30	$29.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	290	$90	$27.2K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	740	$30	$23.1K

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

Northeastern Utah Medical Group — 4 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	56	70	270	$110	$376.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	27	1,340	200	$80	$144K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4	1,360	190	$70	$125K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	36	50	340	$80	$114K
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…	22	70	690	$30	$95.9K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	40	70	410	$50	$93.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	184	200	240	$90	$85.8K
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…	106	160	250	$50	$76.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	25	220	200	$80	$74K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	86	100	440	$40	$70.3K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uintah Basin Medical Center	UT	General Acute Care Hospital	$0	$12.9M
Uintah Basin Medical Center	UT	Rural Health Clinic/Center	$0	$6.9M
Uintah Basin Medical Center	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Uintah Basin Medical Center	UT	Rural Health Clinic/Center	$0	$428.6K
Aaron Weaver	UT	Interventional Cardiology Physician	$412K	$1.3K
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0
Sean Lawless	UT	Cardiovascular Disease Physician	$401.4K	$0
Sean Paulsen	UT	Diagnostic Radiology Physician	$106.4K	$267K
Jason Larson	UT	Emergency Medicine Physician	$28.8K	$332K
Cameron Evans	WA	Diagnostic Radiology Physician	$254.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duchesne County School District	UT	Local Education Agency (LEA)	$0	$699.1K
Roosevelt Vision Clinic, PC	UT	Optometrist	$0	$547.4K
Uintah Basin Medical Center	UT	Ambulance	$0	$354.7K
John Blake	UT	MOHS-Micrographic Surgery Physician	$205.3K	$0
Amos Burgess	UT	Emergency Medicine Physician	$27.5K	$176.2K
James White	UT	Physical Medicine & Rehabilitation Physician	$88.6K	$0
Shane Powell	UT	Ophthalmology Physician	$37.4K	$0
James Potter	UT	Anesthesiology Physician	$31.7K	$0
Tanya Boren	UT	Family Nurse Practitioner	$30.2K	$0
John Marett	UT	Family Medicine Physician	$27.5K	$0

Northeastern Utah Medical Group — Billing Profile & Reimbursement Data

Sign up for Northeastern Utah Medical Group — Billing Profile & Reimbursement Data policy alerts

Northeastern Utah Medical Group — Billing Profile & Reimbursement Data

Sign up for Northeastern Utah Medical Group — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References