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.

Lotus Early Learning (NPI 1558986075)

Field	Value
Entity Type	Organization
Organization	Lotus Early Learning
Address	110 S Jackson St
City	Moscow
State	ID
ZIP	83843
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	June 10, 2020

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	5,570	$210	$1.2M

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

Lotus Early Learning — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	71	160	4,020	$140	$1.6M

Nearby Providers

Other providers in the same ZIP code as Lotus Early Learning, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$7.4M
Disability Action Center - Nw, Inc.	ID	In Home Supportive Care Agency	$0	$3.8M
Gritman Medical Center Inc	ID	Critical Access Hospital	$0	$3.7M
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Crt Children Services LLC	ID	Behavior Analyst	$0	$2.5M
County Of Latah School District 281	ID	Local Education Agency (LEA)	$0	$2M
Gritman Medical Center, Inc.	ID	Family Medicine Physician	$0	$1.4M
Shawn Richards	ID	Ophthalmology Physician	$1.4M	$0
Alyssa Hoehn	ID	Ophthalmology Physician	$1M	$0
Circles Of Caring Adult Day Health Foundation, Inc.	ID	Adult Day Care Clinic/Center	$0	$744.2K

Lotus Early Learning — Billing Profile & Reimbursement Data

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Lotus Early Learning — Billing Profile & Reimbursement Data

Sign up for Lotus Early Learning — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References