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.

Mvh Bmc LLC (NPI 1467816579)

Field	Value
Entity Type	Organization
Organization	Mvh Bmc LLC
Address	1441 Parkway Dr
City	Blackfoot
State	ID
ZIP	83221
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 6, 2016

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file and all recorded lifetime revenue comes from Medicaid, totaling $11.6M. The absence of Medicare claims indicates the provider’s operational footprint and revenue exposure are concentrated in Medicaid programs rather than split between Medicare and Medicaid.

Revenue is extremely concentrated in a single code family: the precomputed top 3 Medicaid codes account for 99.9% of this provider's total Medicaid revenue. T1015 alone drives the overwhelming share with $11.3M in revenue (97.2% of the provider's Medicaid revenue), while 99213 and 99214 contribute $165.9K (1.4%) and $140.5K (1.2%) respectively.

Business/service‑line implication — clinic encounter model: the dominance of T1015 (Clinic visit/encounter, all‑inclusive) aligns with the provider’s Rural Health Clinic/Center taxonomy and suggests most patient interactions are billed as all‑inclusive clinic encounters rather than itemized office E/M services. The relatively high average paid per T1015 claim ($158) versus much lower averages for 99213 ($4) and 99214 ($7) implies reliance on bundled encounter reimbursement as the primary revenue mechanism.

Competitive standing for primary code: T1015 ranks #5 of 143 providers in‑state (97th percentile) and is described as notably above typical state volume for this code, indicating MVH BMC LLC is a major in‑state provider for rural clinic all‑inclusive encounters. Similarly, 99213 ranks #16 of 669 (98th percentile) and is also described as notably above typical state volume, signaling above‑typical claiming activity on that office visit code relative to peers.

Mixed signal on E/M volume: while 99213 and 99214 are present in the top code list, their combined revenue share is small relative to T1015 (1.4% and 1.2% respectively), and the low average paid/claim for 99213 ($4) and 99214 ($7) suggests these E/M codes are secondary to the clinic encounter billing strategy rather than primary revenue drivers. 99214 is ranked #20 of 618 (97th percentile) but is labeled as typical, unremarkable volume for that code, which implies state ranking and qualitative labeling should be interpreted together.

Limited use of chronic care/behavioral integration billing: G0511 (general care management/BHI for RHC/FQHC) appears but at small scale (341 claims, $14.3K revenue) and ranks #8 of 12 providers in‑state (36th percentile), indicating the provider offers some chronic care/BHI services but is not a leading in‑state biller for those services. This pattern suggests primary revenue flows from walk‑in or scheduled clinic encounters rather than structured monthly care management billing.

Claims with zero recorded paid amounts across preventive and vaccine codes are common in this profile: several codes (for example 99395, 99396, 99391, 99392, multiple influenza vaccine codes, and various injection codes) show counts but list $0 avg paid/claim and $0 revenue as reported. Those entries indicate either state payment practices, supplemental reporting categories, or zero‑dollar claim records in the data and should be interpreted cautiously when assessing service volume versus realized Medicaid revenue.

Tenure: the provider’s NPI was enumerated on 2016-04-06 (~10 years ago), indicating roughly a decade of presence under the current NPI. That tenure, combined with concentrated Medicaid billing, suggests an established rural clinic practice with a stable Medicaid‑focused payer mix in its market.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	71,390	$160	$11.3M
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…	41,480	$1	$165.9K
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…	20,070	$10	$140.5K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	340	$40	$14.3K
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,…	90	$1	$280
G0008	Administration of influenza virus vaccine	30	$1	$30
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,430	$0	$0
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	220	$0	$0
90661	This code represents a vaccine product administered into the muscle to protect against the flu virus. This is a trivalent vaccine, meaning it protects against three different strains of influenza.…	10	$0	$0
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	70	$0	$0

Showing 1–10 of 22

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

Mvh Bmc LLC — 3 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	140	5,470	$180	$2.6M
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…	16	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…	20	620	560	$60	$191.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	45	80	450	$80	$171.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	44	80	380	$70	$151.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	29	80	130	$80	$91.4K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	8	10	370	$50	$53.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	15	60	50	$70	$35.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	38	70	240	$20	$34.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	35	180	140	$10	$28.4K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mvh Bmc LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mvh Bmc LLC	ID	Rural Health Clinic/Center	$0	$1.1M
Joy Taylor	ID	Nurse Practitioner	$102.7K	$0
Jared Manwaring	ID	Urology Physician	$88.8K	$0
Jason Knighton	ID	Family Nurse Practitioner	$58.4K	$0
Gordon Dixon	ID	Family Medicine Physician	$50.3K	$0
Eric Baird	ID	Surgery Physician	$47.2K	$0
David Donaldson	ID	Otolaryngology Physician	$28.6K	$17.2K
Heather Grimmett	ID	Physician Assistant	$37.2K	$0
Scott Hall	ID	Otolaryngology Physician	$36K	$0
David Chamberlain	ID	Surgery Physician	$28.8K	$0

Nearby Providers

Other providers in the same ZIP code as Mvh Bmc LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bmh Inc.	ID	Rural Health Clinic/Center	$0	$5.8M
Camp Hippo Pediatric Therapy LLC	ID	Occupational Therapist	$0	$5.5M
J&m Mental Health, Inc.	ID	Social Worker	$0	$4.5M
Bmh Inc	ID	Critical Access Hospital	$0	$3.5M
Bmh Inc	ID	Rural Health Clinic/Center	$0	$2.6M
Bmh, Inc.	ID	Surgery Physician	$0	$2.3M
Southeastern Idaho Developmental Center, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$1.8M
Titan Willow Operator LLC	ID	Assisted Living Facility	$0	$1.5M
City Of Blackfoot	ID	Land Ambulance	$234.1K	$785.5K
Gables Holdings LLC	ID	Assisted Living Facility	$0	$1M

Mvh Bmc LLC — Billing Profile & Reimbursement Data

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Mvh Bmc LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References