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.

Idaho Kidney Institute LLP (NPI 1013064690)

Idaho Kidney Institute LLP is a nephrology physician provider located in Chubbuck, Idaho. This profile covers 0 Medicare and 9 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	Idaho Kidney Institute LLP
Address	4511 Zebe Ave
City	Chubbuck
State	ID
ZIP	83202
Taxonomy	Nephrology Physician
NPI Enumerated	January 4, 2007

Payer Source	Total Paid
Medicaid	$644.9K
Medicare	$0

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	4,440	$80	$341.6K
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…	2,950	$40	$124K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	1,270	$70	$93.7K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	1,070	$70	$73K
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…	170	$20	$3.9K
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…	70	$50	$3.5K
99204	The provider sees a new 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 provider…	20	$100	$2.3K
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…	60	$30	$1.6K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	20	$60	$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

Idaho Kidney Institute LLP — 1 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	564	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…	126	620	560	$60	$191.8K
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…	47	60	1,370	$50	$151.3K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	1	10	1,270	$70	$93.4K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	1	10	690	$70	$77.2K
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…	37	40	480	$60	$71.5K
99204	The provider sees a new 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 provider…	134	180	70	$110	$45.6K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	2	10	510	$50	$38.3K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	3	10	100	$30	$3.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amandeep Chadha	UT	Nephrology Physician	$158.8K	$0
Tarek Barbar	ID	Internal Medicine Physician	$156.1K	$0
Michael Haderlie	ID	Nephrology Physician	$149.7K	$0
Naeem Rahim	ID	Nephrology Physician	$129.5K	$0
Hira Siktel	ID	Internal Medicine Physician	$121.6K	$0
Jahangir Ahmed	UT	Nephrology Physician	$96.9K	$0
Richard Cline	UT	Nephrology Physician	$69.8K	$0
Amanda Prestigiacomo	ID	Nurse Practitioner	$24.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcdonald Rehab, PC	ID	Physical Therapist	$0	$4.7M
Access Point Family Services Inc.	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.9M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Emeritus Corporation	ID	Assisted Living Facility	$0	$2.2M
Hannah's Place LLC	ID	Pediatric Physical Therapist	$0	$1.7M
Center Counseling, LLC	ID	Mental Health Counselor	$0	$1.7M
Staralee Baird	ID	Social Worker	$35.5K	$1.4M
Pocatello Med Partners LLC	ID	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Norco, Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$866.6K
T Help	ID	Community/Behavioral Health Agency	$0	$725.4K

Idaho Kidney Institute LLP — Billing Profile & Reimbursement Data

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Idaho Kidney Institute LLP — 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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