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.

Idaho Gastroenterology Associates, LLP (NPI 1265427256)

Idaho Gastroenterology Associates, LLP is a gastroenterology physician provider located in Boise, Idaho. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Idaho Gastroenterology Associates, LLP
Address	425 W Bannock St
City	Boise
State	ID
ZIP	83702
Taxonomy	Gastroenterology Physician
NPI Enumerated	September 15, 2005

Payer Source	Total Paid
Medicaid	$725.1K
Medicare	$0

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
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	3,270	$90	$303.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,960	$60	$119.5K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	760	$100	$76.4K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	1,100	$70	$74.6K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…	2,290	$20	$52.6K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	380	$80	$30.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	260	$100	$25.8K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	200	$50	$11K
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…	190	$50	$9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	400	$20	$6.8K

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

Idaho Gastroenterology Associates, LLP — 1 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	459	670	740	$40	$193.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	178	620	560	$60	$191.8K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	11	30	1,450	$50	$160K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	8	10	20	$340	$94.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	14	20	70	$260	$77.5K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	8	40	180	$170	$75K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	5	10	90	$300	$64.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	126	140	100	$90	$54.4K
99203	The provider sees a new 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 provider…	128	220	90	$80	$51.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	45	180	70	$110	$45.6K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Behavioral Health Services	ID	Community/Behavioral Health Agency	$0	$16M
Boise Radiology Group PLLC	ID	Diagnostic Radiology Physician	$0	$5M
Perma Mental Health PLLC	ID	Psychiatry Physician	$0	$3.1M
Access Behavioral Health Services	ID	Developmentally Disabled Services Day Training Agency	$0	$2.8M
Boise Endoscopy Center LLC	ID	Ambulatory Surgical Clinic/Center	$362.9K	$1.8M
Access Behavioral Health Services, Inc	ID	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.9M
Future Public School, Inc.	ID	Local Education Agency (LEA)	$0	$1.8M
Tomorrow's Hope Statellite Services	ID	Developmentally Disabled Services Day Training Agency	$0	$1.1M
Carl Odom	ID	Diagnostic Radiology Physician	$1.1M	$0
Pain Center Inc	ID	Pain Clinic/Center	$0	$803.8K

Idaho Gastroenterology Associates, LLP — Billing Profile & Reimbursement Data

Sign up for Idaho Gastroenterology Associates, LLP — Billing Profile & Reimbursement Data policy alerts

Idaho Gastroenterology Associates, LLP — Billing Profile & Reimbursement Data

Sign up for Idaho Gastroenterology Associates, LLP — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valerie Holst	ID	Cytopathology Physician	$122.5K	$0
Joseph Kronz	ID	Anatomic Pathology & Clinical Pathology Physician	$76.9K	$0
John Dever	ID	Gastroenterology Physician	$75.9K	$0
Oswaldo Bisbal	ME	Gastroenterology Physician	$70.4K	$0
Justin Tomal	ID	Gastroenterology Physician	$61.5K	$0
Brian Story	ID	Gastroenterology Physician	$57.8K	$0
Brian Davis	NV	Anatomic Pathology & Clinical Pathology Physician	$57.4K	$0
Kirsten Morigeau	ID	Gastroenterology Physician	$56.2K	$0
Bonnie Kim Waite	ID	Gastroenterology Physician	$55.9K	$0
Matthew Sericati	ID	Gastroenterology Physician	$53.6K	$0