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 Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho 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. Idaho (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.

Ashton Memorial, Inc. (NPI 1003907163)

Field	Value
Entity Type	Organization
Organization	Ashton Memorial, Inc.
Address	2935 Rollandet St
City	Idaho Falls
State	ID
ZIP	83402
Taxonomy	Mental Health Counselor
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$644.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,000	$90	$261.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,150	$60	$176.5K
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…	1,930	$60	$115.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	290	$150	$42.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	580	$70	$39.9K
T1014	Telehealth transmission, per minute, professional services bill separately	220	$20	$4.3K
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,…	90	$40	$3.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$100	$1.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

Claims Volume vs. Idaho Distribution

Ashton Memorial, Inc. — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	106	140	2,000	$110	$633.3K
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…	219	670	740	$40	$193.6K
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…	124	620	560	$60	$191.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	107	410	740	$60	$174.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	200	220	60	$100	$25.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	8	40	120	$80	$21.4K
T1014	Telehealth transmission, per minute, professional services bill separately	86	130	450	$20	$19.1K
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,…	106	210	90	$20	$10.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ashton Memorial, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tina Scoggins	ID	Family Medicine Physician	$29.5K	$0
Mel Bingham	ID	Physician Assistant	$27.9K	$0
Craig Denny	ID	Psychiatry Physician	$13.8K	$0

Nearby Providers

Other providers in the same ZIP code as Ashton Memorial, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Reach	ID	In Home Supportive Care Agency	$0	$31.9M
Development Workshop, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$10.8M
Tueller Counseling Inc	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
Vista Family Services LLC	ID	Community/Behavioral Health Agency	$0	$6.3M
Answers, LLC	ID	Adult Mental Health Clinic/Center	$0	$5.9M
Jordan E. Higham PA	ID	Pediatric Dentistry	$0	$5.7M
City Of Idaho Falls	ID	Land Ambulance	$900.3K	$4.8M
Riverside Service Group Inc	ID	Developmentally Disabled Services Day Training Agency	$0	$2.9M
D7 Treatment	ID	Community/Behavioral Health Agency	$0	$2.2M
Abc Homecare Inc.	ID	Licensed Practical Nurse	$0	$2.1M

Ashton Memorial, Inc. — Billing Profile & Reimbursement Data

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Ashton Memorial, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References