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.

Aaa American Healthcare LLC (NPI 1285979757)

Field	Value
Entity Type	Organization
Organization	Aaa American Healthcare LLC
Address	1301 E 17th St
City	Idaho Falls
State	ID
ZIP	83404
Taxonomy	Mental Health Counselor
NPI Enumerated	December 10, 2012

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused behavioral health provider: lifetime Medicaid revenue on file is $8.7M while there is no Medicare billing on file, so the provider’s billed activity and revenue are concentrated in the Medicaid program. The provider’s NPI was enumerated on 2012-12-10 (≈14 years ago), indicating sustained operation in the state behavioral health market.

Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (H0038, H2017, 90834) account for 60.2% of the provider’s total Medicaid revenue. Specifically, H0038 accounts for $2M (22.9%), H2017 for $1.7M (19.3%), and 90834 for $1.6M (18.0%), demonstrating that a majority of dollars flow through a narrow mix of peer/self-help, psychosocial rehabilitation, and mid-length psychotherapy services.

The provider’s code mix signals an operation centered on outpatient behavioral health care with layered supports: large volumes of psychotherapy (90834), psychosocial rehabilitation (H2017), and self-help/peer services (H0038) are paired with substantial targeted case management billing (T1017). This combination indicates a service model that combines regularly scheduled psychotherapy with programmatic rehab and case-management interventions rather than a focus on primary medical care or Medicare-style E/M services.

One dominant service line is 90834 (psychotherapy, 38–52 minutes): the provider delivered 31.3K claims for 90834 and generated $1.6M from that code, ranking #4 of 413 providers in-state (99th percentile; labeled an "extreme outlier"). That ranking and claim volume position the provider as a leading statewide supplier of longer psychotherapy sessions.

Several other codes show above-typical statewide presence: H0038 (16.7K claims, $2M; rank #11 of 114, 91st percentile; labeled "notably above typical") and T1017 (20.6K claims, $1.5M; rank #6 of 186, 97th percentile; labeled "notably above typical") both indicate the provider is a major local source of peer/self-help services and targeted case management. H2017 (15.7K claims, $1.7M; rank #14 of 135, 90th percentile) is listed as having typical, unremarkable volume in the dataset despite its large revenue share, suggesting this mix mirrors common Medicaid psychosocial rehab patterns in-state.

Operational scale is reflected in high claim counts and unit-based billing: the top codes include multi-thousand claim volumes (31.3K for 90834, 20.6K for T1017, 16.7K for H0038), implying a high-volume outpatient caseload and frequent use of 15-minute unit billing for rehab and case management services. This billing pattern is consistent with continuous, recurring client contacts rather than infrequent episodic visits.

The provider also shows meaningful use of telehealth and ancillary supports: T1014 (telehealth transmission) has 1.7K claims ($31.9K) at the 87th percentile, and T2002 (non-emergency transportation) has 2.9K claims ($52.5K) and ranks #4 of 54 providers in-state (94th percentile). These entries indicate integration of remote service delivery and transportation supports into the care model, likely to facilitate appointment access and program engagement.

Because 60.2% of Medicaid revenue is concentrated in the top three codes, the provider’s financial performance is materially tied to reimbursement and utilization patterns for psychotherapy, psychosocial rehabilitation, and peer/self-help services. That concentration, combined with very high statewide ranks on several codes, makes this organization a prominent Medicaid behavioral health provider in Idaho whose revenues would be sensitive to policy or rate changes affecting those specific service lines.

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	16,700	$120	$2M
H2017	Psychosocial rehabilitation services, per 15 minutes	15,710	$110	$1.7M
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…	31,340	$50	$1.6M
T1017	Targeted case management, each 15 minutes	20,570	$80	$1.5M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	890	$430	$379.6K
H0046	Mental health services, not otherwise specified	2,780	$100	$267.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	3,530	$80	$264.6K
T1016	Case management, each 15 minutes	3,940	$60	$251.9K
H0032	Mental health service plan development by non-physician	2,410	$70	$161.2K
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.	1,480	$70	$106.2K

Showing 1–10 of 27

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

Aaa American Healthcare LLC — 5 of 25 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	6	10	1,920	$400	$3.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	16	30	1,410	$80	$804.2K
H2012	Behavioral health day treatment, per hour	3	10	2,840	$140	$705.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	14	140	2,000	$110	$633.3K
H2014	Skills training and development, per 15 minutes	41	60	2,500	$60	$613.3K
H0038	Self‑help/peer services, per 15 minutes	11	110	1,730	$90	$436.4K
T1017	Targeted case management, each 15 minutes	6	190	1,060	$60	$221.8K
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…	422	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…	287	620	560	$60	$191.8K
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…	4	410	740	$60	$174.3K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aaa American Healthcare LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Rinker	ID	Medical Physician Assistant	$17.2K	$0
Jason Martin	ID	Psychiatric/Mental Health Nurse Practitioner	$17.1K	$0

Nearby Providers

Other providers in the same ZIP code as Aaa American Healthcare LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Hospital LLC	ID	General Acute Care Hospital	$0	$45.7M
Eastern Idaho Health Services Inc	ID	General Acute Care Hospital	$0	$12.1M
Rm Lab LLC	ID	Clinical Medical Laboratory	$1.1M	$8.2M
Medical Center For Children & Adolescents, PA	ID	Pediatrics Physician	$0	$8.8M
Intermountain Emergency Physicians	ID	Emergency Medicine Physician	$0	$6.6M
24-7 Professional Solutions	ID	In Home Supportive Care Agency	$0	$5.9M
Just 4 Kids Health LLC	ID	Urgent Care Clinic/Center	$0	$5.2M
Foothills Rehabilitation & Performance Services, PLLC	ID	Physical Therapist	$0	$5M
Innovative Health Care Concepts, Inc	ID	Developmental Disabilities Clinic/Center	$0	$4.8M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0

Aaa American Healthcare LLC — Billing Profile & Reimbursement Data

Sign up for Aaa American Healthcare LLC — Billing Profile & Reimbursement Data policy alerts

Aaa American Healthcare LLC — Billing Profile & Reimbursement Data

Sign up for Aaa American Healthcare LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References