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.

Lost Rivers Medical Center (NPI 1427062181)

Field	Value
Entity Type	Organization
Organization	Lost Rivers Medical Center
Address	551 Highland Dr
City	Arco
State	ID
ZIP	83213
Taxonomy	Family Medicine Physician
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$962.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	6,830	$140	$956.8K
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…	2,450	$1	$4.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	10	$50	$640
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…	540	$1	$540
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,…	10	$10	$90
0011A	N/A	30	$0	$0
0012A	N/A	30	$0	$0
91301	N/A	40	$0	$0

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

Lost Rivers Medical Center — 0 of 5 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	66	140	5,470	$180	$2.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	83	80	880	$70	$265.5K
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…	189	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…	312	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,…	188	210	90	$20	$10.4K
0012A	N/A	18	40	30	$30	$3.4K
0011A	N/A	17	30	30	$20	$2.8K
91301	N/A	20	30	50	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lost Rivers Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick Gorman	ID	Cardiovascular Disease Physician	$236.3K	$0
Benjamin Call	ID	Cardiovascular Disease Physician	$134.4K	$0
Reuel Measom	NM	Interventional Pain Medicine Physician	$106.2K	$0
Ryan Longmore	ID	Cardiovascular Disease Physician	$51.3K	$0
Amy Fisher	UT	Medical Physician Assistant	$43.9K	$0
Danny Spencer	UT	Emergency Medical Services (Emergency Medicine) Physician	$32.5K	$1.1K

Nearby Providers

Other providers in the same ZIP code as Lost Rivers Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lost River Emt	ID	Land Ambulance	$84K	$0

Lost Rivers Medical Center — Billing Profile & Reimbursement Data

Sign up for Lost Rivers Medical Center — Billing Profile & Reimbursement Data policy alerts

Lost Rivers Medical Center — Billing Profile & Reimbursement Data

Sign up for Lost Rivers Medical Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References