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.

High Valley Developmental (NPI 1295879542)

Field	Value
Entity Type	Organization
Organization	High Valley Developmental
Address	4806 Southside Blvd
City	Nampa
State	ID
ZIP	83686
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 19, 2007

Payer Source	Total Paid
Medicaid	$15.5M
Medicare	$0

Key Findings

HIGH VALLEY DEVELOPMENTAL is effectively a single-payer Medicaid operation: there is no Medicare billing on file and the provider reports $15.5M in Medicaid revenue, indicating Medicaid drives its entire recorded payer revenue base. Its taxonomy as a Developmentally Disabled Services Day Training Agency aligns with the observed Medicaid-only footprint.

Revenue concentration is extreme: the precomputed top three Medicaid codes (H2032, 97537, and S5100) account for 99.8% of this provider's total Medicaid revenue, which signals heavy dependence on a narrow set of time-based day and rehabilitative service lines. This concentration increases operational sensitivity to reimbursement or utilization changes for those specific codes.

The top revenue driver is H2032 (Activity therapy, per 15 minutes): 44.6K claims, $162 avg paid/claim, $7.2M revenue (46.5% of total Medicaid revenue). This higher average payment per claim suggests a material portion of the provider's revenue comes from higher-paid activity therapy sessions delivered in 15‑minute increments.

97537 (community work reintegration training, per 15 minutes) is also a dominant revenue source with 213.2K claims, $31 avg paid/claim, $6.6M revenue (42.5% of total Medicaid revenue). The provider ranks #2 of 41 in-state (98th percentile), described as notably above typical state volume, indicating it is a major state provider for this specific rehabilitative, community-integration service.

S5100 (Day care services, adult; per 15 minutes) contributes $1.7M (10.7% of total Medicaid revenue) from 37.1K claims at $45 avg paid/claim and ranks #5 of 37 in-state (89th percentile). While smaller than the top two codes, this code still represents a meaningful portion of revenue and reinforces the provider's focus on adult day and day-care style programming.

A handful of minor codes (for example H2000 Comprehensive multidisciplinary evaluation: 324 claims, $108 avg paid/claim, $35K revenue, 0.2% of total) account for negligible revenue relative to the three main codes, suggesting the operation is largely delivery-focused on ongoing, repeatable session-based services rather than episodic or high-reimbursement evaluations. The H2000 rank (#3 of 20, 89th percentile) shows the provider does offer evaluations but at very low volume and revenue share.

Competitive standing is mixed across services: for 97537 the provider is a clear state-level leader (98th percentile, #2 of 41), while for H2032 and S5100 it sits in the 80th–89th percentile range (#9 of 41 and #5 of 37, respectively), described in the source as typical or unremarkable volume. Overall, the provider is a major in-state player for work reintegration services and a solid but not dominant participant for activity therapy and adult day care.

The NPI was enumerated on 2007-02-19 (~19 years ago), indicating a long-tenured presence in the market; coupled with the high volumes shown for time-based day services (many tens to hundreds of thousands of 15-minute units), this pattern is consistent with an established day-training and community-reintegration operation that bills predominantly per-15-minute units for recurring services.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2032	Activity therapy, per 15 minutes	44,580	$160	$7.2M
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…	213,200	$30	$6.6M
S5100	Day care services, adult; per 15 minutes	37,100	$50	$1.7M
H2000	Comprehensive multidisciplinary evaluation	320	$110	$35K

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

High Valley Developmental — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2032	Activity therapy, per 15 minutes	9	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…	2	40	30,150	$20	$1.2M
S5100	Day care services, adult; per 15 minutes	5	40	9,710	$30	$577.7K
H2000	Comprehensive multidisciplinary evaluation	3	20	40	$30	$8.3K

Nearby Providers

Other providers in the same ZIP code as High Valley Developmental, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A&r Case Management	ID	Case Management Agency	$0	$18.1M
Nampa School District #131	ID	Local Education Agency (LEA)	$0	$15.2M
The Lilypad, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Witco, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Allegiant Health LLC	ID	In Home Supportive Care Agency	$0	$6.9M
Vics Family Pharmacy Inc	ID	Pharmacy	$28.2K	$4.9M
Children's Dentistry Of Idaho, PLLC	ID	Pediatric Dentistry	$0	$3.9M
Idaho Dental Aid PLLC	ID	Dentist	$0	$3.6M
All For One, LLC	ID	Case Management Agency	$0	$2.5M
Another Choice Virtual Charter School, Inc	ID	Local Education Agency (LEA)	$0	$2.3M

High Valley Developmental — Billing Profile & Reimbursement Data

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High Valley Developmental — 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