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.

Insight Counseling & Therapy (NPI 1104350511)

Field	Value
Entity Type	Organization
Organization	Insight Counseling & Therapy
Address	250 S Main St
City	Payette
State	ID
ZIP	83661
Taxonomy	Clinical Social Worker
NPI Enumerated	April 12, 2017

Payer Source	Total Paid
Medicaid	$585.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,300	$120	$284.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,540	$70	$251.6K
H0031	Mental health assessment, by non-physician	170	$110	$18.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	130	$120	$15.4K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	110	$110	$11.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	940	$1	$3.7K

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

Insight Counseling & Therapy — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	96	410	740	$60	$174.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	91	150	210	$80	$52.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	13	260	200	$90	$47.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	71	220	60	$100	$25.5K
H0031	Mental health assessment, by non-physician	46	140	70	$90	$20.2K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	37	130	250	$1	$5.2K

Nearby Providers

Other providers in the same ZIP code as Insight Counseling & Therapy, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Family Health Care Inc	ID	Federally Qualified Health Center (FQHC)	$0	$13.9M
Valley Family Heatlh Care, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$3M
Healthcare With Heart LLC	ID	Family Medicine Physician	$0	$1M
Daniel Iwasa	ID	Optometrist	$97.8K	$0
Ben Barbot	ID	Nurse Practitioner	$29K	$0
Andrew Silsby	ID	Family Nurse Practitioner	$650	$0

Insight Counseling & Therapy — Billing Profile & Reimbursement Data

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Insight Counseling & Therapy — 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