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.

Community Connections, Inc (NPI 1245440692)

Field	Value
Entity Type	Organization
Organization	Community Connections, Inc
Address	296 N Maple Grove Rd
City	Boise
State	ID
ZIP	83704
Taxonomy	Case Management Agency
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicaid	$30M
Medicare	$0

Key Findings

COMMUNITY CONNECTIONS, INC reports no Medicare billing on file and $30M in lifetime Medicaid revenue, making its operational footprint effectively single-payer (Medicaid) in scope; this suggests the organization is tightly focused on services funded through state Medicaid rather than Medicare fee-for-service. The provider’s NPI was enumerated on 2007-05-23 (~19 years ago), indicating a long-established presence in the Idaho Medicaid market.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 89.1% of this provider’s total Medicaid revenue. This concentration signals that a small set of service lines—rather than a broad, diversified billing mix—drive nearly all Medicaid receipts.

H2022 dominates the business: the provider reported $23.1M from H2022 (76.9% of its Medicaid revenue), ranks #1 of 14 providers in-state (100th percentile), and is described as an extreme outlier far above typical state volume for this code. Given H2022’s description as community-based wrap-around services, the operational model is centered on per-diem, community wrap-around programming and likely large-scale case management and care coordination.

The second- and third-largest Medicaid drivers are H2023 ($1.9M, 6.4%) and H2015 ($1.7M, 5.8%). H2023 (supported employment, per 15 minutes) ranks #3 of 3 providers in-state (0th percentile) and is characterized as typical/unremarkable volume, while H2015 (comprehensive community support services, per 15 minutes) ranks #8 of 45 providers (84th percentile) and represents a meaningful but much smaller revenue stream than H2022; together they indicate routine delivery of supported employment and comprehensive community support on a time-based (per-15-minute) basis.

Other billed codes further characterize the service mix: 97537 generated $1.7M (5.6% of Medicaid revenue) across 66.7K claims and ranks #9 of 41 providers (80th percentile), and H2032 generated $1.3M (4.2%) across 26.9K claims and ranks #17 of 41 providers (60th percentile). These codes—community work reintegration training and activity therapy—support a view that the provider offers rehabilitation and community-integration programming in addition to wrap-around case management.

S5100 (day care services, adult; per 15 minutes) is a smaller revenue line at $344.6K (1.1% of Medicaid revenue) across 34.5K claims and ranks #7 of 37 providers in-state (83th percentile); while not a major revenue driver, the claim volume indicates meaningful delivery of time-based adult day services as part of the overall service portfolio.

Competitive standing is mixed: the organization is a clear statewide leader for H2022 (dominant, extreme outlier) but is a modest or typical participant on most other Medicaid codes where it sits in middle-to-upper statewide percentiles. The absence of Medicare billing combined with a nearly two-decade NPI tenure suggests an established, Medicaid-focused specialty provider whose market power is concentrated in community wrap-around services rather than broad multiservice dominance.

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
H2022	Community-based wrap-around services, per diem	67,290	$340	$23.1M
H2023	Supported employment, per 15 minutes	22,280	$90	$1.9M
H2015	Comprehensive community support services, per 15 minutes	11,320	$150	$1.7M
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…	66,720	$30	$1.7M
H2032	Activity therapy, per 15 minutes	26,870	$50	$1.3M
S5100	Day care services, adult; per 15 minutes	34,460	$10	$344.6K

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

Community Connections, Inc — 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
H2022	Community-based wrap-around services, per diem	1	10	6,010	$820	$8.9M
H2023	Supported employment, per 15 minutes	3	10	22,980	$80	$2.2M
H2032	Activity therapy, per 15 minutes	17	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…	9	40	30,150	$20	$1.2M
S5100	Day care services, adult; per 15 minutes	7	40	9,710	$30	$577.7K
H2015	Comprehensive community support services, per 15 minutes	8	50	2,960	$100	$570.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Full Circle Health, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$53.3M
K A Health Services LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
County Of Ada	ID	Land Ambulance	$2M	$11.4M
Developmental Concepts, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$13.2M
Pathways Of Idaho, LLC	ID	Community/Behavioral Health Agency	$0	$12M
Havenwood Caregiver Services Of Idaho, LLC	ID	In Home Supportive Care Agency	$0	$10.7M
Living Independently Forever, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.6M
All Horizons Inc	ID	Mental Health Counselor	$0	$6.7M
Ascent Behavioral Health Services	ID	Community/Behavioral Health Agency	$0	$4.7M

Community Connections, Inc — Billing Profile & Reimbursement Data

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Community Connections, 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