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.

K A Health Services LLC (NPI 1336698927)

Field	Value
Entity Type	Organization
Organization	K A Health Services LLC
Address	405 N Allumbaugh St
City	Boise
State	ID
ZIP	83704
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 24, 2016

Payer Source	Total Paid
Medicaid	$13.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operation: there is no Medicare billing on file while lifetime Medicaid revenue totals $13.9M, indicating the organization’s entire documented reimbursement footprint is concentrated in Medicaid programs. Analysts should treat payer exposure and reimbursement risk as tied to state Medicaid policy and contracts rather than to Medicare trends or fee schedules.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes (T1013, H0038, 90834) together account for 78.5% of the provider's Medicaid revenue. That concentration means a large share of the $13.9M Medicaid revenue is dependent on continued reimbursement and utilization of these specific services.

The code mix shows a service model focused on communication supports, peer services, and psychotherapy. T1013 (80.3K claims, $5.5M revenue, 39.9% of Medicaid revenue) is sign language/oral interpretive services, H0038 (31.1K claims, $3.5M revenue, 25.1%) is self-help/peer services, and 90834 (25.2K claims, $1.9M revenue, 13.5%) is psychotherapy (38–52 minute sessions). High claim volumes across these three codes indicate operational emphasis on frequent, billed encounters in behavioral-health and communication support services.

Competitive standing in-state is strong and concentrated in specific services: T1013 ranks #1 of 37 providers (100th percentile; extreme outlier), H0038 ranks #2 of 114 providers (99th percentile; extreme outlier), and 90834 ranks #6 of 413 providers (99th percentile; extreme outlier). These ranks indicate the provider is a dominant statewide source for sign-language interpretation and peer services and among the top psychotherapy volume providers in Idaho.

Beyond the top three, the provider shows additional unusually large volumes on several time-based and support codes, suggesting a bundled operational model of short-interval contacts. Notable examples include T1017 (14.1K claims, $1.4M revenue, 10.4% of Medicaid revenue; rank #15 of 186, 92th percentile; notably above typical) and T2002 non-emergency transportation (7.2K claims, $93.3K revenue; rank #2 of 54, 98th percentile; extreme outlier), indicating ancillary service lines that materially contribute to the Medicaid revenue mix.

The predominance of per-15-minute codes (T1013, H0038, T1017, H2017) and high claim counts (e.g., 80.3K claims for T1013) suggests an operational model built around many brief, reimbursable contacts rather than a small number of high-value encounters. This has implications for staffing, scheduling, and administrative burden because revenue scales with encounter volume and time-based documentation.

The provider’s NPI was enumerated on 2016-09-24 (~10 years ago), indicating roughly a decade of activity under the current identifier. Combined with $13.9M in Medicaid revenue and the extreme statewide rankings on several codes, this tenure supports that the organization has established sustained Medicaid billing relationships and capacity.

From a strategic and risk perspective, the combination of no Medicare billing, $13.9M concentrated in Medicaid, and 78.5% of Medicaid revenue tied to three codes creates both leverage and vulnerability: the provider is a key in-state supplier for interpretation and peer services (demonstrated by extreme outlier status), but changes in Medicaid coverage, reimbursement, or utilization for those specific codes could disproportionately affect overall revenue.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	80,330	$70	$5.5M
H0038	Self‑help/peer services, per 15 minutes	31,110	$110	$3.5M
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…	25,250	$70	$1.9M
T1017	Targeted case management, each 15 minutes	14,070	$100	$1.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	8,310	$120	$1M
T1016	Case management, each 15 minutes	3,110	$80	$245.5K
T2002	Non-emergency transportation; per diem	7,180	$10	$93.3K
H0032	Mental health service plan development by non-physician	1,130	$80	$89.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	670	$110	$71.4K
99205	The provider sees a new 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 provider…	70	$150	$10K

Showing 1–10 of 12

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

K A Health Services LLC — 4 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	28	140	2,000	$110	$633.3K
T1013	Sign language or oral interpretive services, per 15 minutes	1	40	960	$70	$461.2K
H0038	Self‑help/peer services, per 15 minutes	2	110	1,730	$90	$436.4K
T1017	Targeted case management, each 15 minutes	15	190	1,060	$60	$221.8K
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…	6	410	740	$60	$174.3K
T1016	Case management, each 15 minutes	5	60	420	$70	$76.2K
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…	88	140	100	$90	$54.4K
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…	252	260	200	$90	$47.8K
H0032	Mental health service plan development by non-physician	14	110	150	$70	$37.3K
99205	The provider sees a new 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 provider…	21	50	50	$150	$29.2K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as K A Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Full Circle Health, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$53.3M
Community Connections, Inc	ID	Case Management Agency	$0	$30M
County Of Ada	ID	Land Ambulance	$2M	$11.4M
Developmental Concepts, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$13.2M
Pathways Of Idaho, LLC	ID	Community/Behavioral Health Agency	$0	$12M
Havenwood Caregiver Services Of Idaho, LLC	ID	In Home Supportive Care Agency	$0	$10.7M
Living Independently Forever, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.6M
All Horizons Inc	ID	Mental Health Counselor	$0	$6.7M
Ascent Behavioral Health Services	ID	Community/Behavioral Health Agency	$0	$4.7M

K A Health Services LLC — Billing Profile & Reimbursement Data

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K A Health Services LLC — 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