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.

Pacific Rim Consulting LLC (NPI 1437585114)

Field	Value
Entity Type	Organization
Organization	Pacific Rim Consulting LLC
Address	101 South Main Street
City	Pocatello
State	ID
ZIP	83204
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 25, 2013

Payer Source	Total Paid
Medicaid	$884K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	8,980	$60	$520.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,430	$60	$208.9K
T1017	Targeted case management, each 15 minutes	1,450	$50	$76.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	5,450	$10	$54.5K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	1,320	$10	$17.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	70	$80	$5.5K

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

Pacific Rim Consulting LLC — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	84	160	4,020	$140	$1.6M
H0005	Alcohol and/or drug services; group counseling by a clinician	16	80	2,240	$50	$257.3K
T1017	Targeted case management, each 15 minutes	88	190	1,060	$60	$221.8K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	11	30	610	$20	$29K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	99	220	60	$100	$25.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	1	70	340	$10	$6.4K

Nearby Providers

Other providers in the same ZIP code as Pacific Rim Consulting LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A New Hope, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$5.7M
Bloom Center For Pediatric Therapy, LLC	ID	Speech-Language Pathologist	$0	$5.5M
Consumer Care LLC	ID	Community/Behavioral Health Agency	$0	$5.1M
Hope Tree Inc	ID	Community/Behavioral Health Agency	$0	$3.2M
Jennifer Putnam	ID	Speech-Language Pathologist	$0	$1.3M
Care Connection Of Idaho	ID	Home Health Agency	$0	$1.2M
Terri Jones	ID	Case Manager/Care Coordinator	$0	$445.2K
Community Wellness Center, Inc	ID	Case Management Agency	$0	$426.9K
Candlewood Family Counseling Center, Inc.	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$343.3K
Maag Prescription Center L.L.C.	ID	Oxygen Equipment & Supplies (DME)	$0	$336.7K

Pacific Rim Consulting LLC — Billing Profile & Reimbursement Data

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Pacific Rim Consulting 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

Nearby Providers

Frequently Asked Questions

References