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.

Home Reach (NPI 1528508066)

Field	Value
Entity Type	Organization
Organization	Home Reach
Address	6226 Bryson Ln
City	Idaho Falls
State	ID
ZIP	83402
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 2, 2017

Payer Source	Total Paid
Medicaid	$31.9M
Medicare	$0

Key Findings

HOME REACH has no Medicare billing on file and is effectively a Medicaid-only biller, reporting Total Medicaid revenue of $31.9M; the absence of Medicare activity means all observed payer risk and competitive dynamics derive from Medicaid programs and rates. This concentration makes Medicaid policy and state-level reimbursement decisions the primary determinants of the provider’s revenue trajectory.

Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue. In particular, H2022 (49.4% of Medicaid revenue) and H2016 (47.3%) are the dominant drivers of the $31.9M figure, with H2015 contributing the remaining 3.2%.

The top-revenue codes indicate a community-based, behavioral-health and support services operating model consistent with the provider’s In Home Supportive Care Agency taxonomy. H2022 (Community-based wrap-around services, per diem) and H2016 (Comprehensive community support services, per diem) are per-diem programs that imply day-based or episodic community supports, while H2015 (per 15 minutes) shows there is also some time-based service billing in the mix.

Claim counts and per-claim payment levels show contrasting utilization and reimbursement patterns: H2022 has 6.4K claims with an average paid/claim of $2448, H2016 has 3.3K claims with a notably higher average paid/claim of $4510, and H2015 has 5.4K claims at $190 avg paid/claim. These figures suggest H2022 is the highest-volume line by encounters, H2016 is higher-paying per occurrence but lower-volume, and H2015 produces many small, time-based billings that make up a small share of revenue.

State-level competitive standing is modest rather than dominant across the provider’s top codes: H2022 ranks #7 of 14 in-state (54th percentile; typical, unremarkable volume for this code), H2016 ranks #3 of 6 (60th percentile; typical, unremarkable volume for this code), and H2015 ranks #16 of 45 (66th percentile; typical, unremarkable volume for this code). None of the three top codes place the provider at the top of statewide volume lists, indicating a mid-tier competitive position within Idaho for these Medicaid services.

The provider has been enumerated since 2017-03-02 (~9 years ago), indicating an established presence in the Medicaid market that has produced the observed $31.9M lifetime Medicaid billing. That tenure supports interpretation of the current code mix as sustained operational focus rather than a short-term anomaly.

Because nearly all Medicaid revenue is driven by just two per-diem codes (H2022 at 49.4% and H2016 at 47.3%), the business faces concentration risk: changes in Medicaid policy, per-diem rates, or state authorization patterns for those service lines could materially affect revenue. The presence of H2015 as a secondary, time-based revenue stream (3.2%) provides limited diversification but does not materially reduce dependence on the two per-diem services.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	6,430	$2,450	$15.8M
H2016	Comprehensive community support services, per diem	3,340	$4,510	$15.1M
H2015	Comprehensive community support services, per 15 minutes	5,410	$190	$1M

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

Home Reach — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	3	10	2,910	$1,720	$17.9M
H2022	Community-based wrap-around services, per diem	7	10	6,010	$820	$8.9M
H2015	Comprehensive community support services, per 15 minutes	16	50	2,960	$100	$570.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Workshop, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$10.8M
Tueller Counseling Inc	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
Vista Family Services LLC	ID	Community/Behavioral Health Agency	$0	$6.3M
Answers, LLC	ID	Adult Mental Health Clinic/Center	$0	$5.9M
Jordan E. Higham PA	ID	Pediatric Dentistry	$0	$5.7M
City Of Idaho Falls	ID	Land Ambulance	$900.3K	$4.8M
Riverside Service Group Inc	ID	Developmentally Disabled Services Day Training Agency	$0	$2.9M
D7 Treatment	ID	Community/Behavioral Health Agency	$0	$2.2M
Abc Homecare Inc.	ID	Licensed Practical Nurse	$0	$2.1M
Beehive Rehabilitation And Counseling, PA	ID	Community/Behavioral Health Agency	$0	$1.7M

Home Reach — Billing Profile & Reimbursement Data

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Home Reach — 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

Nearby Providers

Frequently Asked Questions

References