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.

The Evangelical Lutheran Good Samaritan Society (NPI 1053392548)

Field	Value
Entity Type	Organization
Organization	The Evangelical Lutheran Good Samaritan Society
Address	129 E 50th St
City	Garden City
State	ID
ZIP	83714
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 10, 2005

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

Key Findings

This provider’s Medicaid activity is almost entirely driven by H2022 (Community-based wrap-around services, per diem); H2022 is listed with $13.5M revenue and accounts for 100.0% of the provider’s total Medicaid revenue, indicating community-based wrap‑around per diems are the organization’s core billed service. The taxonomy as an In Home Supportive Care Agency is consistent with heavy reliance on H2022-level wrap‑around services rather than high-volume procedural care.

Revenue concentration is extreme at the service-line level: the precomputed top-3 Medicaid codes account for 100.0% of total Medicaid revenue, and H2022 alone is reported at $13.5M (100.0%). This degree of concentration implies the provider’s financial exposure and operational footprint are tightly linked to demand and reimbursement for community-based wrap‑around services.

The provider has no Medicare billing on file (Total Medicare revenue: none), while reporting $13.5M in Medicaid revenue, making its payer mix effectively single‑payer Medicaid in the available data. Analysts should treat this entity as Medicaid‑dependent for comparative or risk assessments because there is no Medicare volume to diversify revenue.

Competitively within Idaho for H2022, the provider ranks #11 of 14 (23th percentile) and is described as having typical, unremarkable volume for this code; this indicates it is a modest participant in the state market for community wrap‑around services rather than a dominant provider. The rank and percentile suggest peer providers in‑state show similar or larger volumes than this entity for the same code.

Ancillary codes (97530, Q3014, 97116) together generate negligible Medicaid revenue relative to H2022 — $716 for 97530, $92 for Q3014, and $82 for 97116 — and each is characterized as typical, unremarkable volume with low in‑state percentiles (97530: rank #233 of 282, 17th percentile; Q3014: rank #24 of 35, 32th percentile; 97116: rank #16 of 25, 38th percentile). These small, low‑ranking payments suggest therapy and telehealth originating site fees are marginal revenue streams and not material drivers of the business profile.

There is a pronounced difference in per‑claim economics across services: H2022 shows a high average paid/claim at $3107, while the therapy and telehealth codes show very low average paid/claim levels ($4 for 97530, $2 for Q3014, $1 for 97116). This gap implies the provider’s financial results are reliant on per‑diem wrap‑around reimbursements rather than high frequency, low‑value therapy billings.

The provider’s NPI was enumerated on 2005-11-10 (~21 years ago), indicating long tenure in the market; combined with the concentrated Medicaid revenue base, this suggests an established organization with an operational focus on Medicaid community wrap‑around services rather than recent entrants or primarily Medicare‑oriented operations.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	4,360	$3,110	$13.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	180	$1	$720
Q3014	Telehealth originating site facility fee	50	$1	$90
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	80	$1	$80

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

The Evangelical Lutheran Good Samaritan Society — 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	11	10	6,010	$820	$8.9M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	233	280	1,480	$70	$389.4K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	16	30	300	$10	$14.2K
Q3014	Telehealth originating site facility fee	24	40	100	$20	$5.4K

Nearby Providers

Other providers in the same ZIP code as The Evangelical Lutheran Good Samaritan Society, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Medical Group, LLC	ID	Family Medicine Physician	$0	$21.8M
Trinity Home Care And Resource, Inc	ID	In Home Supportive Care Agency	$0	$6M
Rolling Hills Charter School	ID	Local Education Agency (LEA)	$0	$1.5M
Bloom Idaho LLC	ID	Multi-Specialty Clinic/Center	$0	$1.3M
Cole Diagnostics, Inc	ID	Clinical Medical Laboratory	$0	$1.3M
Gabriel Morey	ID	Anatomic Pathology & Clinical Pathology Physician	$326.6K	$0
Joseph Johnson	ID	Optometrist	$112.7K	$0
Walgreen Co	ID	Pharmacy	$84.7K	$4.9K
David Kent	ID	Psychiatry Physician	$42K	$0
Christopher Gunderson	ID	Physician Assistant	$13.2K	$0

The Evangelical Lutheran Good Samaritan Society — Billing Profile & Reimbursement Data

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The Evangelical Lutheran Good Samaritan Society — Billing Profile & Reimbursement Data

Sign up for The Evangelical Lutheran Good Samaritan Society — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References