# Utah CPT 52356 all-payer data request package

**To:** Utah Department of Health and Human Services, Healthcare Statistics Programs

**Submission process:** https://healthcarestats.utah.gov/about-the-data/request-data/

**Data-series context:** https://healthcarestats.utah.gov/about-the-data/data-series/

## Request letter

Please provide a de-identified, aggregate extract for **CPT 52356 only** for service years **2020 through 2025, or the latest complete year available**. The business purpose is transparent Utah market sizing, geographic planning, and target-account validation for a urology commercial team.

No patient names, addresses, dates of birth, member identifiers, claim identifiers, or other protected patient identifiers are requested.

## Requested output grain

Preferred row grain:

`service year × payer category × place/setting × rendering provider NPI × billing organization NPI × facility identifier × county × ZIP`

Please apply the program’s disclosure and suppression policy. If the preferred grain is too detailed, please provide the most detailed approved aggregate grain and identify which dimensions were removed or coarsened.

## Required filters and measures

- Exact CPT/HCPCS code `52356`; exclude related ureteroscopy, lithotripsy, stent-only, PCNL, and diagnosis codes.
- Service year and, if different, claim-paid or release year.
- Service count.
- Unique patient/beneficiary count when permitted.
- Claim-line or encounter count when available.
- Service days when available.
- Explicit suppression flag and suppression reason.
- Place of service, encounter setting, or facility type.

## Requested payer categories

- Traditional Medicare
- Medicare Advantage
- Medicaid
- Commercial / employer-sponsored
- Marketplace when separable
- Self-pay
- Other / unknown

Please include payer definitions and explain coordination-of-benefits handling.

## Requested provider, practice, and facility fields

- Rendering provider NPI and specialty.
- Billing provider or organization NPI and public organization name.
- Facility identifier, name, type, and public location when permitted.
- Physician-to-organization and physician-to-facility relationship fields when present.
- County and ZIP of service when permitted; otherwise a documented geographic substitute.

## Documentation requested

- Complete data dictionary and code lists.
- Inclusion/exclusion and adjudication rules.
- Suppression/disclosure policy and flags.
- Coverage limitations by payer and year.
- Revision history and restatement policy.
- Explanation of professional, facility, claim-line, and encounter grains.
- Known incomplete periods or data-source changes.

## Preferred delivery

CSV or Parquet with stable column names, plus a machine-readable or XLSX data dictionary. Please include a readme describing file grain, delimiters, encodings, null/suppression values, and version.

## Reconciliation questions

Please indicate how to reconcile:

- statewide totals to county/ZIP totals;
- provider totals to organization totals;
- organization totals to facility totals;
- professional to facility claims;
- claim-line counts to encounters;
- payer subtotals to all-payer totals.

## Administrative notes

The public request guidance should be treated as authoritative for current timing, agreements, review, and fees. As reviewed in July 2026, the program described a typical de-identified request timeline of approximately four weeks and an FY2027 external custom-work rate of $121.20 per hour; please confirm the current estimate and any data-use agreement before work begins.

Please reply with:

1. feasibility and the most detailed approved grain;
2. current fee estimate;
3. expected delivery date;
4. required agreement or approval steps;
5. secure delivery instructions;
6. a point of contact for scope questions.

This request is intended to support statewide volume, provider/practice/facility analysis, payer mix, geographic trends, and market concentration without requesting protected patient information.