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.

Edgewood Fruitland Senior Living LLC (NPI 1063840353)

Field	Value
Entity Type	Organization
Organization	Edgewood Fruitland Senior Living LLC
Address	1255 Allen Ave
City	Fruitland
State	ID
ZIP	83619
Taxonomy	Assisted Living Facility
NPI Enumerated	October 23, 2013

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	1,440	$1,770	$2.5M

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

Edgewood Fruitland Senior Living LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	13	50	450	$950	$857.7K

Nearby Providers

Other providers in the same ZIP code as Edgewood Fruitland Senior Living LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Snake River Pediatrics, PC	ID	Pediatrics Physician	$0	$5.3M
Snake River Pediatrics, PC	ID	Rural Health Clinic/Center	$0	$3.2M
Current Physical Therapy LLC	ID	Physical Therapist	$0	$1.8M
City Of Fruitland	ID	Ambulance	$414.3K	$1.2M
Saint Alphonsus Medical Center- Ontario Inc	ID	Rural Health Clinic/Center	$0	$854.6K
Ryan Hillam	ID	Dentist	$0	$397.4K
Brock Andersen	ID	Dermatology Physician	$265.9K	$0
John Foote	ID	Orthopaedic Surgery Physician	$140.1K	$0
Nicholas Hartley	ID	Physical Therapist	$103.4K	$0
Dallin Wilkes	ID	Physical Therapist	$97.4K	$0

Edgewood Fruitland Senior Living LLC — Billing Profile & Reimbursement Data

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Edgewood Fruitland Senior Living LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References