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.

Health West, Inc. (NPI 1013547801)

Field	Value
Entity Type	Organization
Organization	Health West, Inc.
Address	1001 N 7th Ave Ste 135
City	Pocatello
State	ID
ZIP	83201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 21, 2020

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	8,700	$240	$2.1M
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…	2,700	$1	$10.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$1	$90
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	20	$1	$20
1034F	No Summary found for this code	150	$0	$0
1036F	N/A	390	$0	$0
1160F	No Summary found for this code	1,790	$0	$0
3008F	No Summary found for this code	440	$0	$0
3074F	No Summary found for this code	560	$0	$0
3075F	No Summary found for this code	100	$0	$0

Showing 1–10 of 23

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

Health West, Inc. — 0 of 4 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	56	140	5,470	$180	$2.6M
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…	251	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…	134	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…	101	410	740	$60	$174.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	141	150	210	$80	$52.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	83	220	60	$100	$25.5K
90832	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…	50	140	190	$30	$14.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	166	210	510	$1	$7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	12	70	340	$10	$6.4K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	51	60	140	$10	$4.6K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.2M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$5.9M
Bear Lake Community Health Center, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$3.8M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.4M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.2M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.1M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$509.9K
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$455.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moonlight Mountain Recovery, Inc	ID	Substance Abuse Rehabilitation Facility	$0	$17.7M
Pocatello Children & Adolescent Clinic	ID	Pediatrics Physician	$0	$11M
Speech Therapy Services, LLC	ID	Speech-Language Pathologist	$0	$8.5M
Pocatello Chubbuck School District #25	ID	Local Education Agency (LEA)	$0	$7.9M
Facial & Oral Surgery Associates, Inc.	ID	Oral and Maxillofacial Surgery (Dentist)	$0	$6.3M
Pocatello Hospital LLC	ID	General Acute Care Hospital	$0	$6.1M
Rocky Mountain Physician Group LLC	ID	Emergency Medicine Physician	$0	$5.5M
Community Mental Health	ID	Community/Behavioral Health Agency	$0	$4.3M
Medical Imaging Associates Of Idaho Falls, Inc	ID	Diagnostic Radiology Physician	$0	$4.2M
Life, A Center For Independent Living	ID	In Home Supportive Care Agency	$0	$4M

Health West, Inc. — Billing Profile & Reimbursement Data

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Health West, 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