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.

Glenns Ferry Health Center, Inc. (NPI 1376673137)

Field	Value
Entity Type	Organization
Organization	Glenns Ferry Health Center, Inc.
Address	486 W 1st Ave
City	Glenns Ferry
State	ID
ZIP	83623
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $7.5M in lifetime Medicaid revenue, making its public billing footprint effectively single-payer (Medicaid)-driven based on the available claims data. Analysts should view competitive and operational assessments through a Medicaid-centric lens rather than a dual-payer comparison.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.0% of the provider's total Medicaid revenue, with T1015 alone contributing $7.3M (97.9% of Medicaid revenue). That concentration indicates the organization’s financial performance is heavily dependent on a single bundled clinic visit code rather than a diversified mix of procedure-level billing.

The code mix and top drivers point to an operational model centered on FQHC-style per-encounter services. T1015 (48.1K claims, $152 avg paid/claim) is the dominant revenue source, and G0467 (2.3K claims, $14 avg paid/claim) and E/M codes like 99213 (26.8K claims, $2 avg paid/claim) together reinforce that this entity primarily delivers bundled clinic visits and routine office-based primary care rather than procedure-oriented specialty services.

Despite the large share of revenue from T1015, the state benchmarking labels that volume as "typical, unremarkable volume for this code"; T1015 ranks #7 of 143 providers in-state (96th percentile). Similarly, 99213 ranks #21 of 669 providers in-state (97th percentile) and is also described as "typical, unremarkable volume for this code," suggesting that while absolute counts are high, they fall within expected patterns for comparable FQHCs in Idaho.

There are a few relative outliers in specific service lines: 90756 (flu vaccine) is ranked #1 of 19 providers in-state at the 100th percentile and explicitly flagged as "notably above typical state volume for this code," indicating an unusually high reported volume for that vaccine compared with in-state peers. Conversely, several codes show sizable claim counts but $0 or negligible reported Medicaid revenue (for example, 87880: 1.5K claims, $0 revenue; 90834: 2.8K claims, $0 revenue), which suggests those services may be captured in bundled payments or reimbursed outside the reported Medicaid fee lines.

Competitive standing is modest-to-strong across different benchmarks: the provider ranks near the top for T1015 within the state (96th percentile) and for 99213 (97th percentile), but other FQHC-specific codes like G0467 sit at middle-range positions (rank #9 of 32, 74th percentile). Overall, the organization is a meaningful local provider of bundled FQHC visits but is not a broad statewide leader across a wide set of distinct fee-for-service codes.

Operational implications for payers and network planners: because nearly all Medicaid revenue flows from bundled clinic-visit codes, capacity and access—visit volume and per-encounter delivery—are the primary levers that will affect this provider’s Medicaid revenue. Contracting or program interventions focused on visit-level incentives, alternative payment models for FQHCs, or supporting care management services that are billable under clinic bundles would be more relevant than procedure-specific agreements.

The provider has an established enrollment history: NPI enumerated on 2007-03-07 (~19 years ago), which indicates a long-tenured FQHC presence in Glenns Ferry. That tenure, combined with concentrated visit-based billing, suggests an entrenched primary care role in its community rather than a recent episodic or specialist entrant into the market.

Medicaid: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	48,070	$150	$7.3M
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…	26,810	$1	$53.6K
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…	2,270	$10	$31.7K
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…	7,760	$1	$31.1K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	60	$200	$11.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,030	$1	$6.1K
0012A	N/A	180	$30	$5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	590	$10	$4.7K
0011A	N/A	160	$20	$3.2K
0002A	N/A	70	$40	$2.5K

Showing 1–10 of 49

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

Glenns Ferry Health Center, Inc. — 3 of 21 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

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	7	140	5,470	$180	$2.6M
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…	21	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…	49	620	560	$60	$191.8K
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…	116	410	740	$60	$174.3K
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…	55	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…	50	80	380	$70	$151.1K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	11	10	370	$50	$53.4K
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…	9	30	790	$20	$48.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	37	70	240	$20	$34.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	31	180	140	$10	$28.4K

Showing 1–10 of 49

Related Providers

Other providers that share a Tax Identification Number (TIN) with Glenns Ferry Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glenns Ferry Health Center, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$3.3M
Charlene Clark	ID	Family Nurse Practitioner	$25K	$0
Saad Hijazi	ID	Internal Medicine Physician	$1.3K	$0
Katherine Gray	ID	Family Medicine Physician	$680	$0
Dawn Best	ID	Family Nurse Practitioner	$450	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anson Call Dpt Inc	ID	Physical Therapy Clinic/Center	$0	$715.6K
Stonebridge Assisted Living LLC	ID	Assisted Living Facility	$0	$499.4K

Glenns Ferry Health Center, Inc. — Billing Profile & Reimbursement Data

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Glenns Ferry Health Center, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References