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.

Pocatello Chubbuck School District #25 (NPI 1518088178)

Field	Value
Entity Type	Organization
Organization	Pocatello Chubbuck School District #25
Address	3115 Pole Line Rd
City	Pocatello
State	ID
ZIP	83201
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Key Findings

POCATELLO CHUBBUCK SCHOOL DISTRICT #25 is effectively a single-payer Medicaid provider for the datasets shown: there is no Medicare billing on file while total Medicaid revenue is $7.9M. This concentration means analysis of its payer behavior should focus on Medicaid program participation and state-level competitive dynamics rather than Medicare markets.

Revenue is heavily concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 72.1% of this provider's total Medicaid revenue. Those top three are H0004 ($2.5M, 31.2%), H2014 ($2.2M, 27.8%), and T1019 ($1M, 13.1%), indicating a narrow set of high-value service categories driving most dollars.

The code mix indicates a school-based, service-intensive operation focused on behavioral health, skills training, and personal care: H0004 is behavioral health counseling, H2014 is skills training and development, and T1019 is personal care services. Complementary high-volume therapy and allied services such as 92507 (speech therapy), 92508 (group speech), 97110 (therapeutic exercise), and 97530 (functional activity) reinforce a model delivering direct therapy and supportive care to students within an educational setting (taxonomy: Local Education Agency).

H2014 is a standout in the provider's competitive footprint: with 40.5K claims and $2.2M revenue it ranks #5 of 56 providers in-state (93th percentile; notably above typical state volume). This ranking suggests the district is a major state-level provider of skills training and development services relative to peers.

H0004 and T1019 show solid but not dominant statewide positions: H0004 has 9.7K claims and $2.5M revenue and ranks #51 of 157 in-state (68th percentile; typical, unremarkable volume), while T1019 has 34.3K claims and $1M revenue and ranks #22 of 101 in-state (79th percentile; typical, unremarkable volume). Together these ranks describe a provider with substantial operational scale in some areas but otherwise a middle-to-upper-tier presence across its main service lines.

Claim volumes point to labor- and time-intensive service delivery: H2014 (40.5K claims), T1019 (34.3K claims), and H0004 (9.7K claims) indicate sustained, high-frequency encounters consistent with repeated short-interval services (many per-15-minute codes). Average paid-per-claim levels vary by service intensity, e.g. $54 avg for H2014 and $254 avg for H0004, reflecting differing reimbursement per unit.

The broader therapy and assessment mix supports multidisciplinary school health programming: large counts for 92507 (16.9K claims), 92508 (24.5K claims), 97110 (7.8K claims), and multiple psychological testing codes (96130, 96131, 96136, 96137) indicate provision of speech-language, physical/occupational therapy, and psychological evaluation services. Group-oriented and screening services such as 99412 and V5008 further align with school-based group education and hearing screening activity.

The provider appears established and stable in the Medicaid network, with an NPI enumerated on 2007-04-02 (~19 years ago). This tenure, combined with concentrated revenue streams and high claim volumes in school-focused service codes, indicates a mature LEA billing profile that should be evaluated primarily through state Medicaid program and special-education/IEP service lenses.

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
H0004	Behavioral health counseling and therapy, per 15 minutes	9,670	$250	$2.5M
H2014	Skills training and development, per 15 minutes	40,480	$50	$2.2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	34,260	$30	$1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	7,800	$50	$382K
96152	N/A	1,350	$250	$337.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	5,650	$60	$322.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	16,950	$20	$305.1K
99412	The provider offers advice on maintaining and improving health to a group of patients for roughly an hour.	3,220	$60	$180.5K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	24,530	$10	$171.7K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	710	$100	$73K

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

Pocatello Chubbuck School District #25 — 1 of 22 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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	22	100	11,400	$80	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	51	160	4,020	$140	$1.6M
G9002	Coordinated care fee, maintenance rate	39	40	11,630	$40	$913.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	61	140	2,000	$110	$633.3K
H2014	Skills training and development, per 15 minutes	5	60	2,500	$60	$613.3K
96152	N/A	46	70	2,270	$80	$608.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	68	280	1,480	$70	$389.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	23	210	3,020	$50	$389K
99412	The provider offers advice on maintaining and improving health to a group of patients for roughly an hour.	6	10	3,060	$30	$172.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	26	230	1,390	$40	$134.8K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Pocatello Chubbuck School District #25, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moonlight Mountain Recovery, Inc	ID	Substance Abuse Rehabilitation Facility	$0	$17.7M
Pocatello Children & Adolescent Clinic	ID	Pediatrics Physician	$0	$11M
Speech Therapy Services, LLC	ID	Speech-Language Pathologist	$0	$8.5M
Facial & Oral Surgery Associates, Inc.	ID	Oral and Maxillofacial Surgery (Dentist)	$0	$6.3M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.2M
Pocatello Hospital LLC	ID	General Acute Care Hospital	$0	$6.1M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$5.9M
Rocky Mountain Physician Group LLC	ID	Emergency Medicine Physician	$0	$5.5M
Community Mental Health	ID	Community/Behavioral Health Agency	$0	$4.3M
Medical Imaging Associates Of Idaho Falls, Inc	ID	Diagnostic Radiology Physician	$0	$4.2M

Pocatello Chubbuck School District #25 — Billing Profile & Reimbursement Data

Sign up for Pocatello Chubbuck School District #25 — Billing Profile & Reimbursement Data policy alerts

Pocatello Chubbuck School District #25 — Billing Profile & Reimbursement Data

Sign up for Pocatello Chubbuck School District #25 — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References