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.

Benewah Community Hospital (NPI 1386632180)

Field	Value
Entity Type	Organization
Organization	Benewah Community Hospital
Address	229 S 7th St Ste 101 & 300
City	St Maries
State	ID
ZIP	83861
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 6, 2005

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.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	13,410	$90	$1.3M
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…	9,070	$1	$27.2K
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…	1,970	$10	$11.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	120	$10	$720

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

Benewah Community Hospital — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	40	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…	76	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…	177	620	560	$60	$191.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	89	210	90	$20	$10.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Benewah Community Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benewah Community Hospital	ID	Critical Access Hospital	$0	$601.7K
Devin Caywood	ID	Diagnostic Radiology Physician	$276.4K	$0
Luke Grauke	ID	Diagnostic Radiology Physician	$265.8K	$0
Philip Dougherty	ID	Diagnostic Radiology Physician	$217.7K	$0
Brian Mcnamee	ID	Diagnostic Radiology Physician	$216.9K	$0
Albert Martinez	ID	Diagnostic Radiology Physician	$213.2K	$0
Matthew Lidstrom	ID	Diagnostic Radiology Physician	$169.9K	$0
Michael Lee	ID	Diagnostic Radiology Physician	$153.8K	$0
David Moody	ID	Diagnostic Radiology Physician	$149.4K	$0
Chen Yin	WA	Diagnostic Radiology Physician	$141.3K	$0

Nearby Providers

Other providers in the same ZIP code as Benewah Community Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Idaho Partners In Care	ID	In Home Supportive Care Agency	$0	$5M
St. Maries School District #41	ID	Speech/Language/Hearing Specialist/Technologist	$0	$492.7K
Dirne Health Centers Inc	ID	Federally Qualified Health Center (FQHC)	$0	$390.1K
County Of Benewah	ID	Ambulance	$160.6K	$53.2K
Jacks Pharmacy Inc	ID	Community/Retail Pharmacy	$50.1K	$0
Stephanie Arar	ID	Family Medicine Physician	$46.6K	$0
Ralph Sutherlin	ID	Family Medicine Physician	$7.2K	$0

Benewah Community Hospital — Billing Profile & Reimbursement Data

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Benewah Community Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References