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.

Bonner General Hospital Inc. (NPI 1154563963)

Bonner General Hospital Inc. is a critical access hospital provider located in Sandpoint, Idaho. This profile covers 0 Medicare and 100 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Bonner General Hospital Inc.
Address	520 N 3rd Ave
City	Sandpoint
State	ID
ZIP	83864
Taxonomy	Critical Access Hospital
NPI Enumerated	March 26, 2009

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

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

100 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	4,800	$50	$220.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	3,800	$60	$216.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,630	$80	$125.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1,990	$60	$113.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,670	$30	$102.8K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	2,580	$40	$95.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	630	$120	$73.9K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	2,540	$20	$58.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	6,550	$10	$39.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,920	$20	$38.3K

Showing 1–10 of 100

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

Bonner General Hospital Inc. — 0 of 25 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

100 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	41	60	1,080	$110	$595.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	26	80	1,020	$90	$502.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	137	280	1,480	$70	$389.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	122	210	3,020	$50	$389K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	21	80	880	$70	$265.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	20	40	530	$70	$237.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	13	20	4,340	$10	$236.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	222	670	740	$40	$193.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	378	620	560	$60	$191.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	58	230	1,390	$40	$134.8K

Showing 1–10 of 100

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Uzabel	FL	Hospice and Palliative Medicine (Emergency Medicine) Physician	$582K	$0
Shaun Joshi	ID	Nephrology Physician	$523.4K	$0
Bonner General Hospital Inc	ID	Urgent Care Clinic/Center	$0	$517.6K
Sherwin Foster	ID	Nephrology Physician	$356.3K	$0
Michael Eifling	TX	Clinical Cardiac Electrophysiology Physician	$316.4K	$0
Devin Caywood	ID	Diagnostic Radiology Physician	$276.4K	$0
Matthew Mclaughlin	ID	Urology Physician	$274.2K	$0
Dean Kubacz	ID	Family Medicine Physician	$268.8K	$0
Luke Grauke	ID	Diagnostic Radiology Physician	$265.8K	$0
Philip Dougherty	ID	Diagnostic Radiology Physician	$217.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boundary Regional Community Health Center, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$7M
Panhandle Special Needs, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$4.6M
Idaho Pain Clinic PLLC	ID	Pain Medicine (Anesthesiology) Physician	$0	$2.2M
North Idaho Children's Mental Health, PLLC.	ID	Clinical Social Worker	$0	$2.2M
Boundary Regional Community Health Center, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.3M
Journey Pediatric Therapy	ID	Rehabilitation Clinic/Center	$0	$1.2M
Bonner County Ems	ID	Ambulance	$440.9K	$721.9K
Lake Pend Oreille School District #84	ID	Local Education Agency (LEA)	$0	$1M
Panhandle Support Services, LLC	ID	Case Management Agency	$0	$945.5K
Advanced Care Northwest LLC	ID	Non-emergency Medical Transport (VAN)	$0	$739.5K

Bonner General Hospital Inc. — Billing Profile & Reimbursement Data

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Bonner General Hospital Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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