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.

Pro Active Advantage, LLC (NPI 1366562316)

Field	Value
Entity Type	Organization
Organization	Pro Active Advantage, LLC
Address	215 University Dr
City	Gooding
State	ID
ZIP	83330
Taxonomy	Counselor
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	8,340	$70	$542.1K
S9485	Crisis intervention mental health services, per diem	1,020	$330	$332.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	3,600	$60	$208.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	900	$50	$46.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	350	$100	$35.9K
T1014	Telehealth transmission, per minute, professional services bill separately	1,130	$20	$21.5K
S5150	Unskilled respite care, not hospice; per 15 minutes	200	$90	$16.7K
H2017	Psychosocial rehabilitation services, per 15 minutes	210	$70	$15.2K
H0031	Mental health assessment, by non-physician	120	$100	$10.9K
H0038	Self‑help/peer services, per 15 minutes	120	$60	$7.7K

Showing 1–10 of 14

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

Pro Active Advantage, LLC — 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	115	160	4,020	$140	$1.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	22	30	1,410	$80	$804.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	121	140	2,000	$110	$633.3K
H0038	Self‑help/peer services, per 15 minutes	97	110	1,730	$90	$436.4K
S9485	Crisis intervention mental health services, per diem	3	10	960	$350	$350.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	30	80	2,240	$50	$257.3K
T1017	Targeted case management, each 15 minutes	146	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…	40	410	740	$60	$174.3K
H0032	Mental health service plan development by non-physician	45	110	150	$70	$37.3K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	23	30	610	$20	$29K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Pro Active Advantage, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Canyon Medical Center Inc.	ID	Critical Access Hospital	$0	$3.4M
County Of Gooding School Dist 231 Class A	ID	Local Education Agency (LEA)	$0	$2.3M
Idaho School For The Deaf And The Blind	ID	Local Education Agency (LEA)	$0	$1.3M
North Canyon Medical Center, Inc.	ID	Rural Health Clinic/Center	$0	$1.1M
Associates In Family Practice Inc	ID	Family Medicine Physician	$0	$852.9K
The Walker Center For Alcoholism And Drug Abuse, Inc.	ID	Substance Abuse Rehabilitation Facility	$0	$758.3K
Associates In Family Practice Inc	ID	Family Medicine Physician	$0	$645.2K
Pro Active Advantage, LLC	ID	Cognitive & Behavioral Psychologist	$0	$578.4K
Toone Inc.	ID	Speech-Language Pathologist	$0	$577K
Raymond C. Goodman, O.d., P.A.	ID	Optometrist	$0	$563.4K

Pro Active Advantage, LLC — Billing Profile & Reimbursement Data

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Pro Active Advantage, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References