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.

Healthy Care Solutions, LLC (NPI 1184992695)

Field	Value
Entity Type	Organization
Organization	Healthy Care Solutions, LLC
Address	3522 Briar Creek Ln
City	Ammon
State	ID
ZIP	83406
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 12, 2011

Payer Source	Total Paid
Medicaid	$676K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	1,790	$100	$182.6K
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…	3,820	$50	$175.9K
T1017	Targeted case management, each 15 minutes	1,870	$60	$103.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	800	$110	$85.1K
H0046	Mental health services, not otherwise specified	1,180	$60	$68.6K
T1016	Case management, each 15 minutes	240	$90	$20.5K
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…	240	$50	$12K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	90	$80	$6.7K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,380	$1	$4.1K
T1014	Telehealth transmission, per minute, professional services bill separately	250	$20	$3.8K

Showing 1–10 of 18

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

Healthy Care Solutions, LLC — 0 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	92	140	2,000	$110	$633.3K
H0038	Self‑help/peer services, per 15 minutes	55	110	1,730	$90	$436.4K
T1017	Targeted case management, each 15 minutes	74	190	1,060	$60	$221.8K
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…	86	410	740	$60	$174.3K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	8	10	190	$270	$113.9K
H0046	Mental health services, not otherwise specified	10	30	500	$80	$92.4K
T1016	Case management, each 15 minutes	46	60	420	$70	$76.2K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	21	20	110	$190	$63.7K
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…	119	260	200	$90	$47.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	24	30	200	$100	$47K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Healthy Care Solutions, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Royal Journeys LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$38.3M
Just 4 Kids Pediatrics	ID	Pediatrics Physician	$0	$10.8M
Qualicare Inc.	ID	Nursing Care Agency	$0	$10.3M
Pearl Health Clinic	ID	Mental Health Counselor	$0	$9.9M
4 Pillars Of Success LLC	ID	Multi-Specialty Clinic/Center	$0	$8M
A Childs Smile	ID	Pediatric Dentistry	$0	$4.4M
4 Pillars Of Success LLC	ID	Psychologist	$0	$3.3M
Lincare Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$2M
Darryl Moffett	ID	Ophthalmology Physician	$2M	$0
Idaho Falls Pediatric Dentistry, PLLC	ID	Pediatric Dentistry	$0	$1.2M

Healthy Care Solutions, LLC — Billing Profile & Reimbursement Data

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Healthy Care Solutions, LLC — 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