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.

J&m Mental Health, Inc. (NPI 1174656664)

Field	Value
Entity Type	Organization
Organization	J&m Mental Health, Inc.
Address	60 N Broadway St
City	Blackfoot
State	ID
ZIP	83221
Taxonomy	Social Worker
NPI Enumerated	March 13, 2007

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	15,860	$100	$1.6M
H0038	Self‑help/peer services, per 15 minutes	11,070	$90	$1M
T1017	Targeted case management, each 15 minutes	18,380	$60	$1M
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…	5,990	$70	$407.6K
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…	1,380	$90	$128.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5,500	$20	$110.1K
H2014	Skills training and development, per 15 minutes	2,470	$30	$83.9K
H0032	Mental health service plan development by non-physician	490	$120	$61.3K
T1016	Case management, each 15 minutes	740	$60	$42.3K
90832	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…	660	$40	$27.5K

Showing 1–10 of 17

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

J&m Mental Health, Inc. — 2 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	13	140	2,000	$110	$633.3K
H2014	Skills training and development, per 15 minutes	29	60	2,500	$60	$613.3K
H0038	Self‑help/peer services, per 15 minutes	14	110	1,730	$90	$436.4K
T1017	Targeted case management, each 15 minutes	10	190	1,060	$60	$221.8K
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…	428	670	740	$40	$193.6K
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…	63	410	740	$60	$174.3K
T1016	Case management, each 15 minutes	24	60	420	$70	$76.2K
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…	131	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…	25	260	200	$90	$47.8K
H0032	Mental health service plan development by non-physician	26	110	150	$70	$37.3K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as J&m Mental Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mvh Bmc LLC	ID	Rural Health Clinic/Center	$0	$11.6M
Bmh Inc.	ID	Rural Health Clinic/Center	$0	$5.8M
Camp Hippo Pediatric Therapy LLC	ID	Occupational Therapist	$0	$5.5M
Bmh Inc	ID	Critical Access Hospital	$0	$3.5M
Bmh Inc	ID	Rural Health Clinic/Center	$0	$2.6M
Bmh, Inc.	ID	Surgery Physician	$0	$2.3M
Southeastern Idaho Developmental Center, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$1.8M
Titan Willow Operator LLC	ID	Assisted Living Facility	$0	$1.5M
City Of Blackfoot	ID	Land Ambulance	$234.1K	$785.5K
Gables Holdings LLC	ID	Assisted Living Facility	$0	$1M

J&m Mental Health, Inc. — Billing Profile & Reimbursement Data

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J&m Mental Health, 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

Nearby Providers

Frequently Asked Questions

References