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.

Development Workshop, Inc. (NPI 1104948322)

Field	Value
Entity Type	Organization
Organization	Development Workshop, Inc.
Address	555 W 25th St
City	Idaho Falls
State	ID
ZIP	83402
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 6, 2007

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and all documented program revenue is Medicaid-based, totaling $10.8M. The absence of Medicare activity indicates Medicaid reimbursement policy and managed-care arrangements will be the dominant drivers of this entity’s financial performance and contracting leverage.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 85.7% of total Medicaid revenue. Those top codes are H2032 ($6.4M, 59.1%), 97537 ($1.5M, 14.1%), and S5100 ($1.3M, 12.5%), confirming that a few high-volume, 15-minute-unit services produce the bulk of billed Medicaid dollars.

The code mix points to a day-training and adult day services operational model: H2032 (Activity therapy, per 15 minutes), 97537 (community work reintegration training, per 15 minutes), and S5100 (Day care services, adult; per 15 minutes) together suggest the provider delivers high-volume, short-interval, programmatic services (group and one-on-one) consistent with a Developmentally Disabled Services Day Training Agency. High claim counts (e.g., H2032: 135.6K claims; 97537: 58.3K claims; S5100: 84.2K claims) reinforce a throughput-oriented service delivery model that depends on frequent 15-minute billing units.

Competitive standing is mixed across those top codes: the provider is a major in-state player for H2032 (ranks #2 of 41, 98th percentile; described as notably above typical state volume) and for S5100 (ranks #2 of 37, 97th percentile; also notably above typical state volume), while its activity in 97537 is moderate (ranks #13 of 41, 70th percentile; characterized as typical, unremarkable volume). This profile indicates dominance in activity therapy and adult day care but only a mid-tier presence in community work reintegration training within Idaho.

Average paid-per-claim varies by service and highlights different revenue intensities: H2032 averages $47 paid/claim, 97537 averages $26 paid/claim, and S5100 averages $16 paid/claim. By contrast, lower-volume behavioral codes carry higher per-claim payments (H0004 averages $157 paid/claim on $924.9K revenue), indicating that counseling/therapy units are higher-priced but not primary revenue drivers.

The provider offers ancillary behavioral and support services but these are secondary to its day-training focus: H0004 ($924.9K, 8.6%), H2019 ($297.6K, 2.8%), and H2015 ($192.4K, 1.8%) together represent modest shares of Medicaid revenue and rank in mid-to-lower percentiles statewide (H0004 at the 56th percentile, H2019 at 39th, H2015 at 45th). Additional small-volume codes such as 96152 ($108.6K, 1.0%) and T1027 ($16.5K, 0.2%) further indicate some evaluation and family training activity but not central business lines.

Operational and financial sensitivity is elevated due to concentration in high-volume, unit-based codes: with 85.7% of Medicaid revenue tied to three 15-minute-unit service codes and claim volumes like H2032 at 135.6K claims, changes to reimbursement rates, unit definitions, or utilization management for these codes could materially affect revenue. This concentration also implies the business model relies on staffing patterns and scheduling systems optimized for frequent short encounters.

The provider has an established presence, with an NPI enumerated on 2007-04-06 (~19 years ago), indicating long tenure in the state market. Coupled with top-state rankings on core day-training and adult-day codes, this tenure supports a view of a stable, locally entrenched day-services provider rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2032	Activity therapy, per 15 minutes	135,600	$50	$6.4M
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…	58,330	$30	$1.5M
S5100	Day care services, adult; per 15 minutes	84,230	$20	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	5,890	$160	$924.9K
H2019	Therapeutic behavioral services, per 15 minutes	2,360	$130	$297.6K
H2015	Comprehensive community support services, per 15 minutes	2,830	$70	$192.4K
96152	N/A	740	$150	$108.6K
T1027	Family training and counseling for child development, per 15 minutes	660	$30	$16.5K
H2000	Comprehensive multidisciplinary evaluation	30	$20	$590

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

Development Workshop, Inc. — 2 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	69	160	4,020	$140	$1.6M
H2032	Activity therapy, per 15 minutes	2	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…	13	40	30,150	$20	$1.2M
H2019	Therapeutic behavioral services, per 15 minutes	37	60	2,960	$120	$609.8K
96152	N/A	60	70	2,270	$80	$608.8K
S5100	Day care services, adult; per 15 minutes	2	40	9,710	$30	$577.7K
H2015	Comprehensive community support services, per 15 minutes	25	50	2,960	$100	$570.3K
T1027	Family training and counseling for child development, per 15 minutes	29	40	1,050	$40	$66.8K
H2000	Comprehensive multidisciplinary evaluation	12	20	40	$30	$8.3K

Nearby Providers

Other providers in the same ZIP code as Development Workshop, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Reach	ID	In Home Supportive Care Agency	$0	$31.9M
Tueller Counseling Inc	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
Vista Family Services LLC	ID	Community/Behavioral Health Agency	$0	$6.3M
Answers, LLC	ID	Adult Mental Health Clinic/Center	$0	$5.9M
Jordan E. Higham PA	ID	Pediatric Dentistry	$0	$5.7M
City Of Idaho Falls	ID	Land Ambulance	$900.3K	$4.8M
Riverside Service Group Inc	ID	Developmentally Disabled Services Day Training Agency	$0	$2.9M
D7 Treatment	ID	Community/Behavioral Health Agency	$0	$2.2M
Abc Homecare Inc.	ID	Licensed Practical Nurse	$0	$2.1M
Beehive Rehabilitation And Counseling, PA	ID	Community/Behavioral Health Agency	$0	$1.7M

Development Workshop, Inc. — Billing Profile & Reimbursement Data

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Development Workshop, 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