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.

Access Behavioral Health Services (NPI 1487700589)

Field	Value
Entity Type	Organization
Organization	Access Behavioral Health Services
Address	1276 W. River St.
City	Boise
State	ID
ZIP	83702
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$16M
Medicare	$0

Key Findings

This provider is effectively single-payer in its billing mix: it has no Medicare billing on file and $16M in lifetime Medicaid revenue, indicating Medicaid is the operational revenue base for all billed services. Analysts should treat Medicaid patterns as the full picture for this entity rather than splitting attention between payers.

Revenue is highly concentrated in a small number of service lines: the top three Medicaid codes — H2017, T1017, and 90834 — together account for 66.6% of this provider’s total Medicaid revenue. Those three codes individually contribute $5.6M (35.0%), $2.5M (16.0%), and $2.5M (15.6%) respectively, signaling that a few programs drive the bulk of cash flow.

The code mix indicates a community/behavioral health operation focused on intensive psychosocial rehabilitation, care coordination, and psychotherapy: H2017 (psychosocial rehabilitation services, per 15 minutes), T1017 (targeted case management, each 15 minutes), and 90834 (psychotherapy, 38–52 minutes) are the top revenue drivers. High volumes of per-15-minute and psychotherapy codes suggest a programmatic model built around repeated, scheduled therapeutic and case-management encounters rather than episodic medical procedures.

COMPETITIVE STANDING: the provider is a statewide leader for multiple core services — H2017 ranks #1 of 135 providers in-state (100th percentile; extreme outlier) and T1017 ranks #1 of 186 providers in-state (100th percentile; extreme outlier), while 90834 ranks #3 of 413 providers in-state (100th percentile; extreme outlier). These rankings indicate dominance in psychosocial rehabilitation and targeted case management and a top-tier position for psychotherapy within Idaho.

There is strong evidence of expanded service modalities beyond in-person therapy: T1014 (telehealth transmission) shows 10K claims and $199K revenue and ranks #3 of 125 providers in-state (98th percentile; extreme outlier), indicating substantial telehealth utilization. Coupled with high-volume psychotherapy and case management codes, this suggests a mixed delivery model with remote engagement as a meaningful component of care.

The provider also shows outsized in-state volumes on several assessment and non-physician behavioral-health codes that support a comprehensive program model: 90791 (psychiatric evaluation) is $590K revenue and ranks #1 of 215 providers in-state (100th percentile; extreme outlier) and H0032 (service plan development by non-physician) is $287.4K revenue and ranks #1 of 106 providers in-state (100th percentile; extreme outlier). These patterns point to strong capacity for intake, assessment, and individualized care planning in addition to ongoing therapy and case management.

Operationally relevant ancillary services appear at elevated volumes as well: 96372 (injections) shows 4.1K claims, $53.5K revenue and ranks #1 of 126 providers in-state (100th percentile; extreme outlier), and S5150 (unskilled respite care, per 15 minutes) contributes $492.6K and ranks #4 of 25 providers (88th percentile). The presence of high-volume injections and respite care suggests the organization supports medication administration and supportive services, expanding the range of behavioral-health touchpoints billed to Medicaid.

Tenure and scale context: the provider’s NPI was enumerated on 2007-01-25 (~19 years ago), indicating long-standing operations in the market. While lifetime Medicaid revenue is $16M (a finite scale), the provider pairs that total with dominant, outlier-level volumes in several core behavioral-health codes, meaning it punches above its overall revenue size in selected program areas rather than being a broadly distributed small provider.

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	57,390	$100	$5.6M
T1017	Targeted case management, each 15 minutes	41,660	$60	$2.5M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	42,630	$60	$2.5M
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…	26,960	$60	$1.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,900	$100	$590K
S5150	Unskilled respite care, not hospice; per 15 minutes	5,540	$90	$492.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	8,010	$50	$432.7K
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…	9,490	$40	$332K
H0032	Mental health service plan development by non-physician	4,960	$60	$287.4K
H0038	Self‑help/peer services, per 15 minutes	2,850	$90	$261.7K

Showing 1–10 of 33

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

Access Behavioral Health Services — 12 of 25 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	77	160	4,020	$140	$1.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	4	30	1,410	$80	$804.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	1	140	2,000	$110	$633.3K
T1013	Sign language or oral interpretive services, per 15 minutes	18	40	960	$70	$461.2K
H0038	Self‑help/peer services, per 15 minutes	45	110	1,730	$90	$436.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	17	80	2,240	$50	$257.3K
T1017	Targeted case management, each 15 minutes	1	190	1,060	$60	$221.8K
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…	72	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…	13	620	560	$60	$191.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3	410	740	$60	$174.3K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Access Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Misty Klatt	ID	Clinical Social Worker	$8.6K	$0

Nearby Providers

Other providers in the same ZIP code as Access Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boise Radiology Group PLLC	ID	Diagnostic Radiology Physician	$0	$5M
Perma Mental Health PLLC	ID	Psychiatry Physician	$0	$3.1M
Access Behavioral Health Services	ID	Developmentally Disabled Services Day Training Agency	$0	$2.8M
Boise Endoscopy Center LLC	ID	Ambulatory Surgical Clinic/Center	$362.9K	$1.8M
Access Behavioral Health Services, Inc	ID	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.9M
Future Public School, Inc.	ID	Local Education Agency (LEA)	$0	$1.8M
Tomorrow's Hope Statellite Services	ID	Developmentally Disabled Services Day Training Agency	$0	$1.1M
Carl Odom	ID	Diagnostic Radiology Physician	$1.1M	$0
Pain Center Inc	ID	Pain Clinic/Center	$0	$803.8K
Pain Care Center Boise, LLC	ID	Ambulatory Surgical Clinic/Center	$741.8K	$10.4K

Access Behavioral Health Services — Billing Profile & Reimbursement Data

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Access Behavioral Health Services — 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