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.

Sawtooth Orthotics & Prosthetics Inc (NPI 1487663514)

Field	Value
Entity Type	Organization
Organization	Sawtooth Orthotics & Prosthetics Inc
Address	1144 S Silverstone Way Ste 100
City	Meridian
State	ID
ZIP	83642
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicaid	$540.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	2,570	$100	$254K
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	1,920	$80	$155.6K
L2270	Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad	1,090	$40	$48K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	40	$420	$17.3K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	50	$350	$17K
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	30	$450	$12.5K
L2280	Addition to lower extremity, molded inner boot	40	$270	$11.8K
L4205	Repair of orthotic device, labor component, per 15 minutes	490	$20	$11.8K
L3202	Orthopedic shoe, oxford with supinator or pronator, child	250	$40	$10.6K
L2200	Addition to lower extremity, limited ankle motion, each joint	20	$60	$1.3K

Showing 1–10 of 11

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

Sawtooth Orthotics & Prosthetics Inc — 7 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	1	10	1,150	$80	$85.4K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	1	10	40	$100	$73.2K
L2270	Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad	1	10	50	$50	$17.8K
L1970	Ankle foot orthosis, plastic with ankle joint, custom fabricated	1	10	40	$420	$17.3K
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	2	10	30	$410	$12K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	1	10	30	$320	$11K
L4205	Repair of orthotic device, labor component, per 15 minutes	1	10	300	$30	$8.1K
L2280	Addition to lower extremity, molded inner boot	1	10	20	$260	$7K
L3202	Orthopedic shoe, oxford with supinator or pronator, child	1	10	150	$40	$6.4K
L2200	Addition to lower extremity, limited ankle motion, each joint	1	10	20	$60	$1.3K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Sawtooth Orthotics & Prosthetics Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norco, Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$41M
Joint School District No. 2	ID	Local Education Agency (LEA)	$0	$34.2M
Chatterbox Speech & Language Center	ID	Speech-Language Pathologist	$0	$10.6M
St. Fillan's, LLC	ID	In Home Supportive Care Agency	$0	$10.5M
Southern Idaho Health Partners LLC	ID	General Practice Physician	$0	$9.2M
Gem State Developmental Center LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$9.1M
Addus Healthcare, Inc.	ID	In Home Supportive Care Agency	$0	$6.1M
Northwest Neurobehavioral Health, LLC	ID	Clinical Social Worker	$0	$5.2M
Idaho Pediatric Therapy Clinic PLLC	ID	Physical Therapist	$0	$3.1M
Cpapnow Inc	ID	Durable Medical Equipment & Medical Supplies	$0	$3.1M

Sawtooth Orthotics & Prosthetics Inc — Billing Profile & Reimbursement Data

Sign up for Sawtooth Orthotics & Prosthetics Inc — Billing Profile & Reimbursement Data policy alerts

Sawtooth Orthotics & Prosthetics Inc — Billing Profile & Reimbursement Data

Sign up for Sawtooth Orthotics & Prosthetics Inc — 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