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.

Boundary Regional Community Health Center Inc (NPI 1306883244)

Field	Value
Entity Type	Organization
Organization	Boundary Regional Community Health Center Inc
Address	6615 Comanche St
City	Bonners Ferry
State	ID
ZIP	83805
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	29,930	$150	$4.4M
D0999	N/A	5,910	$140	$838.5K
D2392	Post 2 surface resin‑based composite	830	$160	$134.8K
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…	8,960	$1	$35.8K
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…	6,630	$1	$13.3K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	760	$20	$11.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	490	$20	$8.7K
D2393	Resin-based composite, three surfaces, posterior	30	$180	$5.1K
0012A	N/A	80	$30	$2.2K
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…	450	$1	$1.4K

Showing 1–10 of 40

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

Boundary Regional Community Health Center Inc — 0 of 14 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	19	140	5,470	$180	$2.6M
D0999	N/A	13	30	3,960	$250	$1.5M
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…	92	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…	43	620	560	$60	$191.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	43	80	450	$80	$171.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	65	80	380	$70	$151.1K
D1120	Prophylaxis–child	86	250	180	$60	$143K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	60	80	130	$80	$91.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	124	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	70	190	280	$60	$72.9K

Showing 1–10 of 40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Boundary Regional Community Health Center Inc, 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	$7M
Boundary Regional Community Health Center, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.3M
Sarah Rains	ID	Physician Assistant	$117.8K	$0
Magno Santos	ID	Family Nurse Practitioner	$58.1K	$720
Albert Jabbour	FL	Medical Physician Assistant	$8.1K	$0
James Mccall	ID	Physician Assistant	$550	$0

Nearby Providers

Other providers in the same ZIP code as Boundary Regional Community Health Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bonners Ferry Family Medicine, PLLC	ID	Rural Health Clinic/Center	$0	$2.6M
Rawlings Community Counseling	ID	Community/Behavioral Health Agency	$0	$365.7K
Boundary Community Hospital	ID	Critical Access Hospital	$0	$346.7K
Boundary Volunteer Ambulance Service Inc.	ID	Ambulance	$108.6K	$87.8K

Boundary Regional Community Health Center Inc — Billing Profile & Reimbursement Data

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Boundary Regional Community Health Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References