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. Maries School District #41 (NPI 1437378320)

Field	Value
Entity Type	Organization
Organization	St. Maries School District #41
Address	720 Main Ave
City	St Maries
State	ID
ZIP	83861
Taxonomy	Speech/Language/Hearing Specialist/Technologist
NPI Enumerated	April 25, 2007

Payer Source	Total Paid
Medicaid	$492.7K
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
H2014	Skills training and development, per 15 minutes	4,950	$80	$375.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,420	$40	$62.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	4,540	$10	$40.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	510	$30	$13.7K

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. Maries School District #41 — 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
H2014	Skills training and development, per 15 minutes	20	60	2,500	$60	$613.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	145	280	1,480	$70	$389.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	170	210	3,020	$50	$389K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	31	90	2,700	$10	$59.3K

Nearby Providers

Other providers in the same ZIP code as St. Maries School District #41, 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
Benewah Community Hospital	ID	Rural Health Clinic/Center	$0	$1.3M
Benewah Community Hospital	ID	Critical Access Hospital	$0	$601.7K
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

St. Maries School District #41 — Billing Profile & Reimbursement Data

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St. Maries School District #41 — Billing Profile & Reimbursement Data

Sign up for St. Maries School District #41 — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References