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.

Bear Lake County (NPI 1447311139)

Field	Value
Entity Type	Organization
Organization	Bear Lake County
Address	385 Cemetary Road
City	Montpelier
State	ID
ZIP	83254
Taxonomy	Ambulance
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicare	$68.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	130	$330	$42.6K
A0425	Ground mileage, per statute mile	4,270	$10	$25.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Bear Lake County — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0429	18	60	60	$330	$60.6K
A0425	27	60	3,210	$10	$44.4K

Nearby Providers

Other providers in the same ZIP code as Bear Lake County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bear Lake County Memorial Hospital	ID	Internal Medicine Physician	$0	$990.3K
Bear Lake County Memorial Hospital	ID	Rural Health Clinic/Center	$0	$889.7K
Bear Lake County Memorial Hospital	ID	Critical Access Hospital	$0	$362.8K
Spencer Esplin	ID	Physician Assistant	$31.2K	$0
Shaun Tobler	ID	Clinical Social Worker	$15K	$0

Bear Lake County — Billing Profile & Reimbursement Data

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Bear Lake County — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References