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.

Riverside Recovery LLC (NPI 1366827255)

Field	Value
Entity Type	Organization
Organization	Riverside Recovery LLC
Address	1720 18th Ave
City	Lewiston
State	ID
ZIP	83501
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	July 21, 2015

Payer Source	Total Paid
Medicaid	$2.1M
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
H0005	Alcohol and/or drug services; group counseling by a clinician	14,870	$70	$981.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	7,470	$60	$455.5K
H0038	Self‑help/peer services, per 15 minutes	6,870	$50	$371.2K
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…	1,470	$70	$106.1K
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…	810	$80	$67K
T1014	Telehealth transmission, per minute, professional services bill separately	2,710	$20	$56.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	120	$120	$15.3K
H0001	Alcohol and/or drug assessment	120	$60	$7.2K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	500	$10	$6.5K
T1017	Targeted case management, each 15 minutes	170	$40	$6.5K

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

Riverside Recovery 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	59	160	4,020	$140	$1.6M
H0038	Self‑help/peer services, per 15 minutes	27	110	1,730	$90	$436.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	8	80	2,240	$50	$257.3K
T1017	Targeted case management, each 15 minutes	148	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…	157	410	740	$60	$174.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	111	150	210	$80	$52.7K
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…	49	260	200	$90	$47.8K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	22	30	610	$20	$29K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	76	220	60	$100	$25.5K
H0006	Alcohol and/or drug services; case management	15	20	440	$40	$19.4K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Riverside Recovery LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Nursing Services, Inc.	ID	Adult Day Care Clinic/Center	$0	$29.3M
Catalyst Medical Group, PLLC	ID	Multi-Specialty Clinic/Center	$0	$11.4M
Opportunities Unlimited, Inc.	ID	Specialist	$0	$9.1M
St. Joseph Hospital LLC	ID	General Acute Care Hospital	$0	$4.7M
County Of Nez Perce Independent School District No 1	ID	Local Education Agency (LEA)	$0	$3.5M
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$3.2M
City Of Lewiston	ID	Land Ambulance	$697.3K	$1.9M
Addus Healthcare (idaho), Inc	ID	In Home Supportive Care Agency	$0	$2M
Emeritus Properties Ii, Inc.	ID	Assisted Living Facility	$0	$1.9M
Hospitalist Medicine Physicians Of Idaho- Nampa PLLC	ID	Emergency Medicine Physician	$0	$1.7M

Riverside Recovery LLC — Billing Profile & Reimbursement Data

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Riverside Recovery 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