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.

Living Independently Forever, Inc. (NPI 1447373147)

Field	Value
Entity Type	Organization
Organization	Living Independently Forever, Inc.
Address	8620 W Emerald St
City	Boise
State	ID
ZIP	83704
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 9, 2007

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Key Findings

LIVING INDEPENDENTLY FOREVER, INC. is a Developmentally Disabled Services Day Training Agency with $9.8M in reported Medicaid revenue and no Medicare billing on file, making it effectively a single-payer (Medicaid) operation based on the available claims data. The provider’s business appears focused on state-funded developmental and behavioral day services rather than fee-for-service Medicare lines.

Revenue is heavily concentrated in a small set of time-based service codes: the top three Medicaid codes (97537, H2032, H0004) account for 84.6% of the provider’s Medicaid revenue. Those three codes specifically generate $3.6M (37.0%) from 97537, $2.9M (29.7%) from H2032, and $1.8M (17.9%) from H0004, indicating the bulk of income flows from a narrow set of service lines.

The code mix (97537 – community work reintegration training; H2032 – activity therapy; H0004 – behavioral health counseling and therapy) indicates operations centered on time-based, hands-on day habilitation and work-readiness supports with integrated behavioral counseling. Frequent use of 15-minute unit codes suggests program delivery is organized around multiple short, billable interactions per participant rather than episodic/high-intensity procedures.

Competitive standing within Idaho is relatively strong on the two largest revenue drivers: 97537 and H2032 both rank #5 of 41 providers in-state (90th percentile), which places the provider near the top of state peers for those service lines even as the data labels volume as "typical, unremarkable." H0004 ranks #48 of 157 providers in-state (70th percentile), reflecting a mid-high presence for behavioral therapy compared with a larger pool of in-state providers.

Additional Medicaid lines show a broader service mix but much smaller revenue shares: H2019 brings $631.9K (6.4%) and S5100 contributes $605.7K (6.2%), while 96152 accounts for $235.2K (2.4%). Notably, S5100 ranks #4 of 37 providers in-state (92th percentile), indicating comparatively high adult day care volume in-state, while H2019 (#21 of 60, 66th percentile) and 96152 (#44 of 73, 40th percentile) reflect more moderate statewide positions.

Operational intensity is reflected in high unit counts and low per-unit payments for the leading codes: 97537 shows 117K claims at a $31 avg paid/claim, H2032 shows 69.4K claims at a $42 avg paid/claim, and H0004 shows 10.1K claims at a $175 avg paid/claim. This pattern (very large counts of 15-minute units) signals a volume-driven revenue model where aggregate payments are produced by many short-duration encounters.

The provider’s NPI was enumerated on 2007-04-09 (~19 years ago), indicating long-tenured operation in the state Medicaid market; that tenure combined with top-5 statewide ranks on key codes suggests an established provider presence within Idaho’s developmental services ecosystem.

Given the absence of Medicare revenue and the concentration of 84.6% of Medicaid income in three time-based service codes, the organization appears dependent on a narrow Medicaid-funded program mix. For payer or network strategy, this profile points to exposure to state reimbursement or program-design changes affecting those specific codes and highlights opportunities for diversification if leadership seeks growth beyond the current Medicaid-dominated footprint.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	116,950	$30	$3.6M
H2032	Activity therapy, per 15 minutes	69,390	$40	$2.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	10,050	$180	$1.8M
H2019	Therapeutic behavioral services, per 15 minutes	4,720	$130	$631.9K
S5100	Day care services, adult; per 15 minutes	46,590	$10	$605.7K
96152	N/A	1,480	$160	$235.2K
T1027	Family training and counseling for child development, per 15 minutes	840	$40	$35.4K
H2000	Comprehensive multidisciplinary evaluation	40	$70	$2.4K
99368	A nonphysician qualified health care professional joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	100	$20	$2.3K

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

Living Independently Forever, Inc. — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	48	160	4,020	$140	$1.6M
H2032	Activity therapy, per 15 minutes	5	40	19,190	$50	$1.6M
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	5	40	30,150	$20	$1.2M
H2019	Therapeutic behavioral services, per 15 minutes	21	60	2,960	$120	$609.8K
96152	N/A	44	70	2,270	$80	$608.8K
S5100	Day care services, adult; per 15 minutes	4	40	9,710	$30	$577.7K
T1027	Family training and counseling for child development, per 15 minutes	25	40	1,050	$40	$66.8K
99368	A nonphysician qualified health care professional joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	6	10	130	$30	$25.7K
H2000	Comprehensive multidisciplinary evaluation	10	20	40	$30	$8.3K

Nearby Providers

Other providers in the same ZIP code as Living Independently Forever, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Full Circle Health, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$53.3M
Community Connections, Inc	ID	Case Management Agency	$0	$30M
K A Health Services LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
County Of Ada	ID	Land Ambulance	$2M	$11.4M
Developmental Concepts, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$13.2M
Pathways Of Idaho, LLC	ID	Community/Behavioral Health Agency	$0	$12M
Havenwood Caregiver Services Of Idaho, LLC	ID	In Home Supportive Care Agency	$0	$10.7M
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.6M
All Horizons Inc	ID	Mental Health Counselor	$0	$6.7M
Ascent Behavioral Health Services	ID	Community/Behavioral Health Agency	$0	$4.7M

Living Independently Forever, Inc. — Billing Profile & Reimbursement Data

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Living Independently Forever, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References