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.

Sequel Tsi Of Idaho, LLC (NPI 1073843868)

Field	Value
Entity Type	Organization
Organization	Sequel Tsi Of Idaho, LLC
Address	2850 Industrial Way
City	Mountain Home
State	ID
ZIP	83647
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	December 30, 2009

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5145	Foster care, therapeutic, child; per diem	1,690	$2,000	$3.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	120	$2,650	$317.9K

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

Sequel Tsi Of Idaho, LLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	1	10	1,690	$1,990	$3.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	120	$2,650	$317.9K

Nearby Providers

Other providers in the same ZIP code as Sequel Tsi Of Idaho, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Clinic-treasure Valley LLC	ID	Family Medicine Physician	$0	$6.9M
Advanced Therapy Care PLLC	ID	Hearing and Speech Clinic/Center	$0	$5.5M
Glenns Ferry Health Center, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$3.3M
Playhouse Dentistry For Kids	ID	Pediatric Dentistry	$0	$1.6M
St Lukes Regional Medical Center	ID	Critical Access Hospital	$0	$940.7K
County Of Elmore	ID	Land Ambulance	$246.9K	$634.2K
Mountain Home School District 193	ID	Local Education Agency (LEA)	$0	$611.8K
Scott Baldridge	ID	Sleep Medicine (Family Medicine) Physician	$86K	$0
Timothy Muhonen	ID	Family Medicine Physician	$85.3K	$0
Anson Call	ID	Physical Therapist	$55.1K	$0

Sequel Tsi Of Idaho, LLC — Billing Profile & Reimbursement Data

Sign up for Sequel Tsi Of Idaho, LLC — Billing Profile & Reimbursement Data policy alerts

Sequel Tsi Of Idaho, LLC — Billing Profile & Reimbursement Data

Sign up for Sequel Tsi Of Idaho, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References