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.

County Of Canyon Canyon Co School Dist 132 (NPI 1053450429)

Field	Value
Entity Type	Organization
Organization	County Of Canyon Canyon Co School Dist 132
Address	1101 Cleveland Blvd
City	Caldwell
State	ID
ZIP	83605
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	February 5, 2007

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively a single-payer Medicaid provider, with Total Medicaid revenue of $8.3M reported. The absence of Medicare activity means analyses of Medicare-facing business lines, reimbursement mix, or cross-payer strategies are not applicable for this entity and Medicaid drives its entire recorded government revenue footprint.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicaid codes account for 83.5% of the provider's total Medicaid revenue. This concentration suggests the organization’s operations are focused on a narrow set of clinical services rather than a broad mix of procedures.

H0004 is the dominant revenue driver, producing $5.9M or 71.9% of the provider’s Medicaid revenue with 42.4K claims at an average $140 paid/claim. The code description (behavioral health counseling and therapy, per 15 minutes) indicates the provider’s primary service line is school-based behavioral health/therapy delivered in short units, and the #9 in-state rank (95th percentile) shows it is a high-volume, above-typical statewide provider for this service.

The second and third largest Medicaid contributors are 96152 ($553.6K, 6.7% of Medicaid revenue) and 92507 ($406.2K, 4.9% of Medicaid revenue). Both codes reflect behavioral/diagnostic and speech-language services (96152 related to psychological assessment elements; 92507 to individual speech/hearing treatment), reinforcing that the organization’s clinical mix centers on behavioral health and speech/communication therapies typical of a Local Education Agency. Their in-state percentiles (82nd and 83rd) indicate solid but not dominant positions for those specific services.

A number of therapy and rehabilitation codes appear further down the revenue list (97530, H2017, 92508, 97110 among others), indicating a multi-disciplinary school-based therapy model that includes occupational/physical therapy, psychosocial rehabilitation, and group speech services. The presence of high claim counts for session-based codes (e.g., 25.5K claims for 92508) but relatively low average paid/claim values suggests service delivery in brief, high-frequency increments typical of school-day therapy programs.

Competitive standing across Medicaid is mixed: for its top code H0004 the provider ranks #9 of 157 (95th percentile), signaling a major statewide presence for school-based behavioral counseling, while many ancillary codes sit in the mid-to-high percentiles (60th–84th) indicating typical in-state volumes rather than clear dominance across all service lines. Several codes (e.g., T1019, H2019) rank at low percentiles, showing limited participation in those specific personal care or therapeutic behavioral services relative to peers.

The provider has long tenure in the NPI registry, enumerated since 2007-02-05 (~19 years ago), which supports an established operational presence in the market and likely sustained relationships with state Medicaid payers and school districts. This longevity, combined with concentrated Medicaid revenues, suggests stable, programmatic delivery of school-based behavioral and therapy services rather than startup or recently expanded service lines.

Given the concentration of revenue in short-interval behavioral health and therapy codes, payer or provider analysts should view any performance or utilization changes in H0004 as having outsized impact on overall revenue. Monitoring claim volume and reimbursement trends for H0004, 96152, and 92507 will capture most of the provider’s Medicaid financial exposure and operational activity.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	42,430	$140	$5.9M
96152	N/A	10,450	$50	$553.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	13,100	$30	$406.2K
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.	9,200	$40	$377.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	3,770	$90	$350.9K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	25,480	$10	$229.3K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	400	$190	$75.2K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2,020	$40	$70.6K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	670	$100	$69.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,820	$30	$58.3K

Showing 1–10 of 19

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

County Of Canyon Canyon Co School Dist 132 — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	85	100	11,400	$80	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	9	160	4,020	$140	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	55	140	2,000	$110	$633.3K
H2019	Therapeutic behavioral services, per 15 minutes	60	60	2,960	$120	$609.8K
96152	N/A	14	70	2,270	$80	$608.8K
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.	46	280	1,480	$70	$389.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	37	210	3,020	$50	$389K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	99	230	1,390	$40	$134.8K
96153	N/A	8	10	5,990	$20	$122.1K
T1001	Nursing assessment / evaluation	42	50	260	$60	$77K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as County Of Canyon Canyon Co School Dist 132, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Alphonsus Regional Medical Center Inc	ID	Family Medicine Physician	$0	$32.6M
Saint Alphonsus Regional Medical Center Inc	ID	Rural Health Clinic/Center	$0	$9.9M
Human Supports Of Idaho	ID	General Practice Physician	$0	$9.4M
West Valley Medical Center, Inc.	ID	General Acute Care Hospital	$0	$7.8M
Carepoint Health Emergency Medicine Idaho, PLLC	ID	Emergency Medicine Physician	$0	$4.3M
Mana Resources LLC	ID	Community/Behavioral Health Agency	$0	$3.1M
Family Eyecare Specialists PLLC	ID	Optometrist	$0	$2.9M
Hope House, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$2.4M
West Valley Medical Group LLC	ID	Internal Medicine Physician	$0	$2.1M
Easterseals-goodwill Northern Rocky Mountain, Inc	ID	Community/Behavioral Health Agency	$0	$2M

County Of Canyon Canyon Co School Dist 132 — Billing Profile & Reimbursement Data

Sign up for County Of Canyon Canyon Co School Dist 132 — Billing Profile & Reimbursement Data policy alerts

County Of Canyon Canyon Co School Dist 132 — Billing Profile & Reimbursement Data

Sign up for County Of Canyon Canyon Co School Dist 132 — 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