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.

Rawlings Community Counseling (NPI 1245528082)

Field	Value
Entity Type	Organization
Organization	Rawlings Community Counseling
Address	6807 Cody St
City	Bonners Ferry
State	ID
ZIP	83805
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 14, 2011

Payer Source	Total Paid
Medicaid	$365.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,120	$70	$146.3K
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…	1,320	$80	$107.8K
T1017	Targeted case management, each 15 minutes	1,030	$60	$57.7K
H2017	Psychosocial rehabilitation services, per 15 minutes	190	$90	$16.3K
T1016	Case management, each 15 minutes	260	$50	$13.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	130	$60	$7.2K
H0031	Mental health assessment, by non-physician	40	$160	$5.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	70	$70	$4.5K
T1014	Telehealth transmission, per minute, professional services bill separately	210	$20	$4.2K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	10	$100	$1.3K

Showing 1–10 of 11

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

Rawlings Community Counseling — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	154	160	4,020	$140	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	122	140	2,000	$110	$633.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	72	80	2,240	$50	$257.3K
T1017	Targeted case management, each 15 minutes	94	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…	136	410	740	$60	$174.3K
T1016	Case management, each 15 minutes	44	60	420	$70	$76.2K
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…	29	260	200	$90	$47.8K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	77	80	100	$80	$26.1K
H0031	Mental health assessment, by non-physician	95	140	70	$90	$20.2K
T1014	Telehealth transmission, per minute, professional services bill separately	88	130	450	$20	$19.1K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boundary Regional Community Health Center Inc	ID	Federally Qualified Health Center (FQHC)	$0	$5.5M
Bonners Ferry Family Medicine, PLLC	ID	Rural Health Clinic/Center	$0	$2.6M
Boundary Community Hospital	ID	Critical Access Hospital	$0	$346.7K
Boundary Volunteer Ambulance Service Inc.	ID	Ambulance	$108.6K	$87.8K

Rawlings Community Counseling — Billing Profile & Reimbursement Data

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Rawlings Community Counseling — Billing Profile & Reimbursement Data

Sign up for Rawlings Community Counseling — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References