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.

Minidoka Memorial Hospital (NPI 1043387426)

Field	Value
Entity Type	Organization
Organization	Minidoka Memorial Hospital
Address	1308 8th St
City	Rupert
State	ID
ZIP	83350
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 29, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	22,040	$90	$2M
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…	9,710	$1	$9.7K
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…	1,810	$1	$3.6K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	20	$0	$0
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	10	$0	$0
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	10	$0	$0
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	410	$0	$0
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	80	$0	$0
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	110	$0	$0
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	50	$0	$0

Showing 1–10 of 15

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

Minidoka Memorial Hospital — 0 of 3 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	29	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…	68	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…	192	620	560	$60	$191.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	50	80	130	$80	$91.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	47	50	210	$80	$51.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	37	60	50	$70	$35.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	50	70	240	$20	$34.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	63	180	140	$10	$28.4K
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,…	117	210	90	$20	$10.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	83	80	120	$10	$7.3K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minidoka Memorial Hospital	ID	Critical Access Hospital	$0	$361K
Jason Lance	UT	Diagnostic Radiology Physician	$251.9K	$2.9K
Robert Tonks	ID	Interventional Cardiology Physician	$173.2K	$0
Joseph Hymas	ID	Interventional Cardiology Physician	$154.2K	$0
Joseph Rosenblum	IN	Internal Medicine Physician	$137.1K	$0
Julianne Santarosa	TX	Surgery Physician	$134.3K	$0
Garth Greenwell	CA	Physical Medicine & Rehabilitation Physician	$130K	$0
Dennis Enomoto	ID	Cardiovascular Disease Physician	$124K	$0
Tyler Wayment	ID	Plastic Surgery Physician	$113.2K	$0
Tyler Roe	ID	Pain Medicine (Anesthesiology) Physician	$106.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Progressive Behavior Systems, PA	ID	Developmentally Disabled Services Day Training Agency	$0	$85.8M
Minidoka County School District #331	ID	Local Education Agency (LEA)	$0	$4.6M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$4.3M
Family Vision And Eye Care PA	ID	Optometrist	$0	$481.4K
Christine Pickup	ID	Audiologist	$4.2K	$0
Jared Keller	ID	Physician Assistant	$1.4K	$0

Minidoka Memorial Hospital — Billing Profile & Reimbursement Data

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Minidoka Memorial Hospital — 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