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.

David Martin (NPI 1518340298)

Field	Value
Entity Type	Individual
Organization	David Martin
Address	2082 S Stonyfield Pl
City	Boise
State	ID
ZIP	83709
Taxonomy	Mental Health Counselor
NPI Enumerated	June 30, 2015

Payer Source	Total Paid
Medicaid	$482.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,630	$60	$157.5K
T1013	Sign language or oral interpretive services, per 15 minutes	1,760	$60	$96.6K
H2017	Psychosocial rehabilitation services, per 15 minutes	600	$130	$74.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	460	$80	$35.7K
T2002	Non-emergency transportation; per diem	2,210	$20	$35.3K
T1016	Case management, each 15 minutes	360	$70	$25.3K
H0038	Self‑help/peer services, per 15 minutes	180	$100	$17.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	140	$80	$12K
T1014	Telehealth transmission, per minute, professional services bill separately	540	$20	$10.7K
T1017	Targeted case management, each 15 minutes	140	$70	$9.1K

Showing 1–10 of 13

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

David Martin — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	105	140	2,000	$110	$633.3K
T1013	Sign language or oral interpretive services, per 15 minutes	17	40	960	$70	$461.2K
H0038	Self‑help/peer services, per 15 minutes	90	110	1,730	$90	$436.4K
T1017	Targeted case management, each 15 minutes	152	190	1,060	$60	$221.8K
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…	121	410	740	$60	$174.3K
T1016	Case management, each 15 minutes	38	60	420	$70	$76.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	53	150	210	$80	$52.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	152	260	200	$90	$47.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	161	220	60	$100	$25.5K
H0031	Mental health assessment, by non-physician	105	140	70	$90	$20.2K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pride Mental Health	ID	Community/Behavioral Health Agency	$0	$405.7K

Nearby Providers

Other providers in the same ZIP code as David Martin, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Therapy Place, Inc.	ID	Occupational Therapist	$0	$30M
Raise The Bottom Training & Counseling Services, LLC	ID	Addiction (Substance Use Disorder) Counselor	$241.2K	$10.8M
Independent School District Of Boise City	ID	Local Education Agency (LEA)	$0	$7M
Kaleidoscope Pediatric Therapy LLC	ID	Occupational Therapist	$0	$5M
A-1 Home Health Care LLC	ID	Home Health Agency	$0	$4.5M
River City Surgical Center	ID	Ambulatory Surgical Clinic/Center	$0	$4.1M
Hand In Hand LLC	ID	Primary Care Nurse Practitioner	$0	$4.1M
Treasure Valley Pediatric Dentistry	ID	Pediatric Dentistry	$0	$3.2M
Edgewood Spring Creek Overland, LLC	ID	Assisted Living Facility	$0	$2.2M
Sandra Sullivan	ID	Personal Care Attendant	$0	$2.1M

David Martin — Billing Profile & Reimbursement Data

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David Martin — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References