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.

Nampa School District #131 (NPI 1346394905)

Field	Value
Entity Type	Organization
Organization	Nampa School District #131
Address	619 S Canyon St
City	Nampa
State	ID
ZIP	83686
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

Key Findings

NAMPA SCHOOL DISTRICT #131 is effectively a single-payer biller: there is no Medicare billing on file and lifetime Medicaid revenue is $15.2M. The provider’s NPI was enumerated on 2007-01-22 (~19 years ago), indicating an established billing presence under the Local Education Agency (LEA) taxonomy.

Revenue is highly concentrated in a small set of services: the top three Medicaid codes (H2017, H0004, 96152) together account for 84.6% of this provider’s total Medicaid revenue. Those three codes individually contribute $6.4M (H2017, 42.4%), $5M (H0004, 33.2%), and $1.4M (96152, 9.0%) to the $15.2M Medicaid total.

The code mix and descriptions point to a school-based behavioral health and therapy operation: H2017 (psychosocial rehabilitation services) and H0004 (behavioral health counseling and therapy) are the two largest revenue drivers, while 96152 captures high-volume psychological testing activity. Additional codes (92508 group speech therapy, 97530 therapeutic activities, 92523 speech-language evaluation) indicate the district also delivers substantial speech and therapy services consistent with in-school allied health programs.

H2017 is a clear statewide specialty for this provider: 22.6K claims generated $6.4M and the provider ranks #6 of 135 in-state (96th percentile; notably above typical state volume for this code). This position marks the district as a major regional provider of psychosocial rehabilitation under Medicaid.

H0004 and 96152 show complementary strengths in counseling and testing—H0004 posted 17.4K claims for $5M and ranks #28 of 157 in-state (83rd percentile; typical, unremarkable volume), while 96152 logged 20.9K claims for $1.4M and ranks #6 of 73 in-state (93rd percentile; typical, unremarkable volume). Together these ranks indicate strong operational capacity in behavioral counseling and standardized testing relative to most in-state peers.

92508 is an operational outlier on volume versus unit value: 52.9K claims at a $10 avg paid/claim produced $529.2K (3.5% of Medicaid revenue) and the provider ranks #3 of 91 in-state (98th percentile; notably above typical state volume). This pattern—very high claim counts with low per-claim payment—is consistent with high-frequency, low-unit-value group speech services often seen in school settings.

The provider offers a broader set of rehabilitation and personal-care services but at much smaller shares of revenue: 97530 produced $507.5K (3.3%), T1019 $426.3K (2.8%) ranked #59 of 101 in-state (42nd percentile; typical, unremarkable volume), H2014 $162.6K (1.1%) ranked #35 of 56 (38th percentile; typical, unremarkable volume), and H2019 $89K (0.6%) ranked #47 of 60 (22nd percentile; typical, unremarkable volume). These figures show operational breadth beyond core behavioral health but limited revenue contribution from those ancillary services.

Payer concentration creates exposure to Medicaid policy and rate changes: with no Medicare revenue and $15.2M coming from Medicaid, any material change to state Medicaid coverage, rates, or school-based service rules could significantly affect revenue. The provider’s ~19-year enrollment suggests long-standing billing relationships and operational stability, but financial sensitivity to Medicaid remains a key business risk.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	22,550	$290	$6.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	17,390	$290	$5M
96152	N/A	20,920	$70	$1.4M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	52,920	$10	$529.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	14,500	$40	$507.5K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	8,360	$50	$426.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	10,600	$30	$286.2K
H2014	Skills training and development, per 15 minutes	820	$200	$162.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	840	$130	$110.7K
H2019	Therapeutic behavioral services, per 15 minutes	840	$110	$89K

Showing 1–10 of 16

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

Nampa School District #131 — 2 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	59	100	11,400	$80	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	28	160	4,020	$140	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	6	140	2,000	$110	$633.3K
H2014	Skills training and development, per 15 minutes	35	60	2,500	$60	$613.3K
H2019	Therapeutic behavioral services, per 15 minutes	47	60	2,960	$120	$609.8K
96152	N/A	6	70	2,270	$80	$608.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	31	280	1,480	$70	$389.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	44	210	3,020	$50	$389K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	102	230	1,390	$40	$134.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	9	20	110	$190	$63.7K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Nampa School District #131, 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
High Valley Developmental	ID	Developmentally Disabled Services Day Training Agency	$0	$15.5M
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

Nampa School District #131 — Billing Profile & Reimbursement Data

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Nampa School District #131 — 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