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.

St Alphonsus Professional Medical Services LLC (NPI 1386677524)

Field	Value
Entity Type	Organization
Organization	St Alphonsus Professional Medical Services LLC
Address	1055 N Curtis Rd
City	Boise
State	ID
ZIP	83706
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$407.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,890	$70	$211.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	4,280	$40	$188.1K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	430	$10	$4.3K
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	150	$10	$1.7K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	60	$20	$1.3K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	10	$30	$430
88300	The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	20	$10	$90

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

St Alphonsus Professional Medical Services LLC — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	9	30	1,450	$50	$160K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1	10	510	$90	$74.9K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	8	10	290	$50	$23.4K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	14	20	330	$40	$17.3K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	6	20	200	$20	$8K
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	3	10	150	$10	$3K
88300	The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	7	10	100	$10	$1.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Alphonsus Professional Medical Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Hodson	ID	Hematology & Oncology Physician	$477.8K	$0
Edward Kim	ID	Anatomic Pathology & Clinical Pathology Physician	$56.4K	$0
Jack Chaffin	ID	Anatomic Pathology & Clinical Pathology Physician	$54.2K	$0
Leana Guerin	ID	Anatomic Pathology Physician	$44.8K	$0
Mark Moore	ID	Anatomic Pathology & Clinical Pathology Physician	$44.2K	$0
Allison Martinez	ID	Certified Registered Nurse Anesthetist	$39.1K	$0
Julie Aulds	AZ	Certified Registered Nurse Anesthetist	$35.9K	$0
Michael Deardeuff	VA	Anesthesiology Physician	$29.2K	$0
Daniel Grange	ID	Anesthesiology Physician	$28.2K	$0
Shelly Green	WY	Certified Registered Nurse Anesthetist	$26.1K	$0

Nearby Providers

Other providers in the same ZIP code as St Alphonsus Professional Medical Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Safeway Inc	ID	Community/Retail Pharmacy	$76.1M	$330
Albertsons LLC	ID	Community/Retail Pharmacy	$29M	$0
American Drug Stores LLC	ID	Community/Retail Pharmacy	$27.3M	$0
Vons Companies Inc	ID	Community/Retail Pharmacy	$12.7M	$0
Nai Saturn Eastern LLC	ID	Community/Retail Pharmacy	$12.6M	$0
Smiles 4 Kids	ID	Dentist	$0	$9.6M
Acme Markets Inc	ID	Community/Retail Pharmacy	$9.5M	$0
Randalls Food & Drugs LP	ID	Community/Retail Pharmacy	$6.7M	$0
Shaws Supermarkets Inc	ID	Community/Retail Pharmacy	$5.5M	$0
Saint Alphonsus Regional Medical Center Inc	ID	General Acute Care Hospital	$0	$5.1M

St Alphonsus Professional Medical Services LLC — Billing Profile & Reimbursement Data

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St Alphonsus Professional Medical Services 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

Related Providers

Nearby Providers

Frequently Asked Questions

References