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.

Valley Family Health Care, Inc (NPI 1245961820)

Field	Value
Entity Type	Organization
Organization	Valley Family Health Care, Inc
Address	1020 E Locust St
City	Emmett
State	ID
ZIP	83617
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 23, 2022

Payer Source	Total Paid
Medicaid	$340.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0999	N/A	1,870	$180	$329.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	90	$60	$5.6K
D2392	Post 2 surface resin‑based composite	110	$30	$3.3K
D0140	Limited oral evaluation – problem focused	140	$10	$2K
D2391	Resin‑based composite – one surface, posterior	50	$10	$320
D0120	Periodic oral evaluation - established patient	50	$0	$0
D0150	Comprehensive oral evaluation – new or established patient	160	$0	$0
D0210	Intraoral - complete series of radiographic images	50	$0	$0
D0220	Intraoral - periapical first radiographic image	140	$0	$0
D0230	Intraoral - periapical each additional radiographic image	40	$0	$0

Showing 1–10 of 15

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

Valley Family Health Care, Inc — 0 of 5 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	23	30	3,960	$250	$1.5M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	232	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	136	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	84	120	140	$120	$66K
D0330	N/A	117	170	170	$50	$35.6K
D2391	Resin‑based composite – one surface, posterior	115	140	270	$40	$27.9K
D0150	Comprehensive oral evaluation – new or established patient	128	220	220	$30	$21.2K
D0140	Limited oral evaluation – problem focused	115	200	190	$20	$10.7K
D0274	N/A	190	260	240	$10	$7.3K
D0120	Periodic oral evaluation - established patient	293	350	400	$1	$5.7K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Valley Family Health Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Family Health Care Inc	ID	Federally Qualified Health Center (FQHC)	$0	$13.9M
Valley Family Heatlh Care, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$3M
Adam Baker	NV	Physician Assistant	$1.8M	$0
Aaron Dykstra	SD	Orthopaedic Hand Surgery Physician	$171.5K	$0
Christopher Malcom	ID	Diagnostic Radiology Physician	$99.6K	$0
Kelsey Ferrell	ID	Dermatology Physician	$70.8K	$0
John Gambino	OR	Diagnostic Radiology Physician	$25.3K	$0
Morris Smith	OR	Internal Medicine Physician	$2.3K	$0
Judith Norris	OR	Family Nurse Practitioner	$1.8K	$0
Jared Van Orman	OR	Internal Medicine Physician	$1.5K	$0

Nearby Providers

Other providers in the same ZIP code as Valley Family Health Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walter Knox Memorial Hospital	ID	Rural Health Clinic/Center	$0	$3.9M
Independent School District Of Emmett #221	ID	Local Education Agency (LEA)	$0	$3.1M
Walter Knox Memorial Hospital	ID	Critical Access Hospital	$0	$2M
Family Services Treatment	ID	Mental Health Counselor	$0	$1.7M
Abilities Service Coordination	ID	Case Management Agency	$0	$1.3M
Emmett Counseling And Psychiatric Services, LLC	ID	Community/Behavioral Health Agency	$0	$642.4K
County Of Gem	ID	Land Ambulance	$172.4K	$263.4K
Black Canyon Medical Group PLLC	ID	Family Medicine Physician	$0	$370.5K
Joshua Golden	ID	Physical Therapist	$59.2K	$0

Valley Family Health Care, Inc — Billing Profile & Reimbursement Data

Sign up for Valley Family Health Care, Inc — Billing Profile & Reimbursement Data policy alerts

Valley Family Health Care, Inc — Billing Profile & Reimbursement Data

Sign up for Valley Family Health Care, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References