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.

Post Falls Asc, L.L.C. (NPI 1518298421)

Field	Value
Entity Type	Organization
Organization	Post Falls Asc, L.L.C.
Address	602 N Calgary Ct
City	Post Falls
State	ID
ZIP	83854
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 18, 2010

Payer Source	Total Paid
Medicaid	$734K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	780	$600	$469K
T1015	Clinic visit/encounter, all-inclusive	420	$630	$265K
D0220	Intraoral - periapical first radiographic image	20	$0	$0
D0230	Intraoral - periapical each additional radiographic image	20	$0	$0
D1120	Prophylaxis–child	20	$0	$0
D2391	Resin‑based composite – one surface, posterior	70	$0	$0
D2392	Post 2 surface resin‑based composite	120	$0	$0
D2930	N/A	1,260	$0	$0
D2934	N/A	170	$0	$0
D3220	N/A	90	$0	$0

Showing 1–10 of 12

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

Post Falls Asc, L.L.C. — 0 of 2 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	110	140	5,470	$180	$2.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6	20	500	$820	$662.5K
D2930	N/A	21	50	750	$70	$171.2K
D1120	Prophylaxis–child	212	250	180	$60	$143K
D9420	N/A	26	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	128	190	280	$60	$72.9K
D2934	N/A	7	10	190	$280	$70.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	65	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	100	140	270	$40	$27.9K
D3220	N/A	16	30	250	$10	$4.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Post Falls Asc, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.3M
Kootenai County	ID	Local Education Agency (LEA)	$0	$5.2M
Learning Garden Developmental Preschool	ID	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Danko Martincic	ID	Hematology & Oncology Physician	$2.6M	$0
Aaging Better In-home Care, LLC	ID	Home Health Agency	$0	$2.4M
Little Smiles Pediatric Dentistry PC	ID	Pediatric Dentistry	$0	$2.2M
North Idaho Day Surgery LLC	ID	General Acute Care Hospital	$0	$1.2M
Pleasant View Surgery Center, LLC	ID	Ambulatory Surgical Clinic/Center	$1M	$0
Corbin Jacobs	ID	Radiation Oncology Physician	$915.1K	$0
Tandy Therapy LLC	ID	Speech-Language Pathologist	$0	$780.1K

Post Falls Asc, L.L.C. — Billing Profile & Reimbursement Data

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Post Falls Asc, L.L.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References