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.

Community Partnerships Of Idaho, Inc. (NPI 1104048503)

Field	Value
Entity Type	Organization
Organization	Community Partnerships Of Idaho, Inc.
Address	3214 N Acre Ln
City	Boise
State	ID
ZIP	83704
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only practice: there is no Medicare billing on file and Total Medicaid revenue: $7.6M, making Medicaid the sole reported payer driving this entity’s measurable revenue. The NPI was enumerated 2007-05-03 (~19 years ago), indicating an established presence in the market with nearly two decades of activity under the current registration.

Revenue is highly concentrated in a small set of behavioral and activity-based billing codes: the precomputed top 3 Medicaid codes account for 64.5% of this provider’s total Medicaid revenue. Those top three are H0004 ($2.2M, 29.3%), H2019 ($1.6M, 20.5%), and H2032 ($1.1M, 14.7%), showing most income comes from time-based behavioral counseling, therapeutic behavioral services, and activity therapy.

The code mix signals an operations model focused on frequent, short-duration, community and therapy contacts: H0004 (Behavioral health counseling and therapy, per 15 minutes) and H2019 (Therapeutic behavioral services, per 15 minutes) are the largest revenue drivers by dollar, while H2032 (Activity therapy, per 15 minutes) and 97537 (community work reintegration training, per 15 minutes) together reflect very high unit volumes (H2032 29.5K claims; 97537 42.8K claims) at lower average payments per claim ($38 and $20 respectively). This pattern is consistent with a developmental-disabilities clinic delivering high-throughput, time-based community supports and rehabilitative interventions.

Competitive standing varies by service line: for therapeutic behavioral services the provider is a strong statewide participant, with H2019 ranked #6 of 60 providers in-state (92th percentile; typical, unremarkable volume for this code). For behavioral health counseling H0004 it ranks #32 of 157 (80th percentile; typical, unremarkable volume for this code), indicating above-median scale but not market dominance in that broader category. H2032 sits at #14 of 41 (68th percentile; typical, unremarkable volume for this code), signaling a solid but not leading position in activity therapy.

The mix of average paid amounts highlights how revenue is generated: higher average payments for H0004 ($152 avg paid/claim) and H2019 ($139 avg paid/claim) produce large shares of revenue despite fewer claims than lower-paid, high-volume services like H2032 ($38 avg paid/claim) and 97537 ($20 avg paid/claim). This means the provider’s revenue is sensitive both to volume of short-unit services and to utilization of higher-paid counseling/therapy minutes, so shifts in authorization or unit length policies could change realized revenue composition.

Beyond the top three, the provider shows complementary service lines that support a community-based developmental-disability model: H2015 (Comprehensive community support services) generated $807.2K (11.4K claims) and 96152 contributed $593K (9K claims), while S5100 (Day care services, adult) added $343.3K. These secondary codes are meaningful contributors but individually represent much smaller shares of total Medicaid revenue (for example S5100 is 4.5% of total), consistent with a multi-service community provider rather than a single-program operator.

The provider’s concentration in a few behavioral codes creates an operational and reimbursement sensitivity—because top three codes together make up 64.5% of Medicaid revenue, changes in coverage, unit definitions, or reimbursement rates for those specific codes could materially affect overall revenue. At the same time, the breadth of other billed codes (e.g., H2015, 97537, S5100) provides some diversification across community support, vocational, and day-care services to partially offset that concentration.

Lower-revenue codes are present but not major drivers, reflecting routine ancillary services rather than core revenue lines: examples include T1027 ($46.1K, 0.6% of total) and H0032 ($31.6K, 0.4% of total), both described as typical, unremarkable volume for those codes in-state. These smaller lines support care coordination and plan development functions that align with a developmental-disabilities clinic model but do not materially change the provider’s dependence on the top behavioral and activity therapy codes.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	14,710	$150	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	11,250	$140	$1.6M
H2032	Activity therapy, per 15 minutes	29,540	$40	$1.1M
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	42,770	$20	$855.3K
H2015	Comprehensive community support services, per 15 minutes	11,370	$70	$807.2K
96152	N/A	8,990	$70	$593K
S5100	Day care services, adult; per 15 minutes	12,710	$30	$343.3K
T1027	Family training and counseling for child development, per 15 minutes	1,050	$40	$46.1K
H0032	Mental health service plan development by non-physician	340	$90	$31.6K
T2024	Service assessment/plan of care development, waiver	140	$130	$18.1K

Showing 1–10 of 11

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

Community Partnerships Of Idaho, Inc. — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	32	160	4,020	$140	$1.6M
H2032	Activity therapy, per 15 minutes	14	40	19,190	$50	$1.6M
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	18	40	30,150	$20	$1.2M
H2019	Therapeutic behavioral services, per 15 minutes	6	60	2,960	$120	$609.8K
96152	N/A	15	70	2,270	$80	$608.8K
S5100	Day care services, adult; per 15 minutes	18	40	9,710	$30	$577.7K
H2015	Comprehensive community support services, per 15 minutes	7	50	2,960	$100	$570.3K
T1027	Family training and counseling for child development, per 15 minutes	22	40	1,050	$40	$66.8K
T2024	Service assessment/plan of care development, waiver	9	20	270	$120	$42.3K
H0032	Mental health service plan development by non-physician	37	110	150	$70	$37.3K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Community Partnerships Of Idaho, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Full Circle Health, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$53.3M
Community Connections, Inc	ID	Case Management Agency	$0	$30M
K A Health Services LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
County Of Ada	ID	Land Ambulance	$2M	$11.4M
Developmental Concepts, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$13.2M
Pathways Of Idaho, LLC	ID	Community/Behavioral Health Agency	$0	$12M
Havenwood Caregiver Services Of Idaho, LLC	ID	In Home Supportive Care Agency	$0	$10.7M
Living Independently Forever, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$9.8M
All Horizons Inc	ID	Mental Health Counselor	$0	$6.7M
Ascent Behavioral Health Services	ID	Community/Behavioral Health Agency	$0	$4.7M

Community Partnerships Of Idaho, Inc. — Billing Profile & Reimbursement Data

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Community Partnerships Of Idaho, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References