Providers

IVY LANE PEDIATRICS, LLC

NPI 1083635692, organization, South Ogden, UT, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00040, ranked 40 nationally.
  • Medicaid dollars per patient on code T1001 ($1652 per patient-month) sit in the top 5% of every provider billing that code.
score 71 of 100, rank 767, $5.1M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameIVY LANE PEDIATRICS, LLC
TypeOrganization
StatusActive
NPI issuedJuly 21, 2006, last updated January 21, 2022
Practice location5974 FASHION POINT DR STE 230, South Ogden, UT 84403-4805, 801-774-9698
Authorized officialWYNDAM REEVE (Administrator)
Specialties
Home Health (251E00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
T1000Private duty/independent nursing licensed up to 15 min$26.4M77%$8K$8K (top 5% from $15K)57th percentile
T1005Respite care services up to 15 min$6.2M18%$2K$685 (top 5% from $1K)97th percentile
T1001Medicaid service code$1.5M4%$1K$48 (top 5% from $301)100th percentile
T1021Medicaid service code$360K1%$865$899 (top 5% from $2K)48th percentile
S9122Home health aide or CNA in the home per hour$38K0%$998$2K (top 5% from $5K)too few months to rank
T1019Personal care services per 15 minhistory of abuse$15K0%$351$2K (top 5% from $4K)too few months to rank

In this area

5 providers in Weber County, UT carry an indicator in the public record, with $5.1M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.

tierproviderat stakewhy
3KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT
Washington Terrace, UT, ranked 2872
$0
  • Part of provider network D1-00128, ranked 128 nationally.
3BRISTOL HOSPICE - UTAH, L.L.C.
Ogden, UT, ranked 3817
$0
  • Part of provider network D1-00104, ranked 104 nationally.
3AVALON CARE CENTER - VA OGDEN LLC
Ogden, UT, ranked 4796
$0
  • Part of provider network D1-00104, ranked 104 nationally.
4CARL GRAY
Ogden, UT, ranked 7507
$3.7M
  • Hours beyond a day in 3 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
5RICHARD ARBOGAST
Ogden, UT, ranked 10043
$1.4M
  • Medicaid dollars per patient on code 99204 ($438 per patient-month) sit in the top 5% of every provider billing that code.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

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