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.

Alliance Medical Group, LLC (NPI 1568413920)

Key Findings

Field	Value
Entity Type	Organization
Organization	Alliance Medical Group, LLC
Address	10482 W Carlton Bay Dr
City	Garden City
State	ID
ZIP	83714
Taxonomy	Family Medicine Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$21.8M
Medicare	$0

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is $21.8M. That concentration means the practice’s entire reported revenue footprint in these datasets is driven by Medicaid billing rather than a mix of Medicare and Medicaid.

Revenue is highly concentrated in a small set of visit codes: the precomputed top three Medicaid codes account for 84.3% of Medicaid revenue, led by 99213 ($12.3M revenue, 56.9% of total Medicaid revenue), followed by 99214 ($4.6M, 21.4%) and 99203 ($1.3M, 6.1%). This level of concentration indicates the business relies overwhelmingly on routine evaluation-and-management office visits for revenue.

The CPT mix is consistent with a high-volume family medicine/primary care clinic: the top revenue drivers are 99213, 99214 and 99203, and preventive pediatrics codes such as 99392, 99393 and 99394 appear in the top codes list. Together these codes suggest the practice’s operations emphasize frequent established-patient visits, some moderate-complexity care, and routine preventive/well-child services rather than specialty or procedure-driven care.

Competitive standing in state Medicaid is dominant for several services: 99213 ranks #2 of 669 providers (100th percentile; extreme outlier) and 99203 ranks #1 of 223 (100th percentile; extreme outlier), while 99214 ranks #8 of 618 (99th percentile; extreme outlier). These rankings indicate the provider is among the highest-volume in-state practitioners for core primary-care E/M services.

The practice runs a significant point-of-care testing and infectious-disease screening operation: 87811 (14.4K claims, $518.6K revenue) and 87502 (3.9K claims, $339.6K revenue) both rank #1 in-state and are labeled extreme outlier, and additional codes for rapid strep testing (87651, 87880) and high volumes of blood draws (36415) appear high in percentile. This pattern indicates routine, high-throughput testing for respiratory and throat infections is an operational focus, likely supporting same-day visit workflows.

Vaccination and preventive-service throughput is also material: 90471 (16.5K claims, $297.9K revenue) ranks in the 97th percentile and 90674 (1.9K claims, $26.1K revenue) ranks in the 98th percentile, while COVID vaccine codes (91320 and administration codes 0001A/0002A/0004A/0071A/0072A) appear with top-in-state ranks including multiple #1 placements. Combined with pediatric preventive visits (99393, 99394), these volumes point to a substantial immunization program and routine well-care throughput within the clinic.

Operational risk and payer-dependence should be noted: with $21.8M in Medicaid revenue and no Medicare billing recorded, changes in Medicaid policy, rates, or enrollment would have outsized effects on this provider’s revenue profile. The extreme concentration in a few E/M codes (84.3% captured by the top three) further amplifies sensitivity to coding, reimbursement, or utilization shifts for those specific services.

The provider has long tenure in the NPI file (enumerated 2006-05-12, ~20 years), which combined with the very high visit and test volumes suggests an established clinic footprint and mature operational processes rather than a new entrant scaling rapidly. That longevity plus the provider’s extreme in-state volume rankings supports the interpretation of a stable, high-throughput primary care practice focused on office-based visits, testing, and immunizations.

Medicaid: Complete Services Breakdown

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

93 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	197,590	$60	$12.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	50,600	$90	$4.6M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	16,180	$80	$1.3M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	14,410	$40	$518.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,110	$100	$403.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	3,950	$90	$339.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,180	$100	$308.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	16,550	$20	$297.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	15,660	$20	$235K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	6,020	$30	$186.6K

Showing 1–10 of 93

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

Alliance Medical Group, LLC — 15 of 25 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

93 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2	670	740	$40	$193.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	8	620	560	$60	$191.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12	80	450	$80	$171.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	25	80	380	$70	$151.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9	80	130	$80	$91.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	67	140	100	$90	$54.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	1	50	210	$80	$51.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	1	220	90	$80	$51.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	22	180	70	$110	$45.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	12	60	50	$70	$35.5K

Showing 1–10 of 93

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Derek Hamblin	ID	Family Medicine Physician	$390.9K	$0
James Earls	VA	Diagnostic Radiology Physician	$177.9K	$4.6K
Rick Roberts	ID	Family Medicine Physician	$80.6K	$0
Bruce Belzer	ID	Family Medicine Physician	$73.4K	$0
Angela Pellant	ID	Family Medicine Physician	$46.3K	$0
Nicole Stivers	ID	Family Medicine Physician	$43.8K	$0
Christopher Boone	SC	Family Medicine Physician	$42.2K	$0
Shannon Gardiner	ID	Surgical Physician Assistant	$40K	$0
Tea Hasanovic	ID	Physician Assistant	$30.8K	$0
Zechariah Wilson	ID	Family Medicine Physician	$30.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Evangelical Lutheran Good Samaritan Society	ID	In Home Supportive Care Agency	$0	$13.5M
Trinity Home Care And Resource, Inc	ID	In Home Supportive Care Agency	$0	$6M
Rolling Hills Charter School	ID	Local Education Agency (LEA)	$0	$1.5M
Bloom Idaho LLC	ID	Multi-Specialty Clinic/Center	$0	$1.3M
Cole Diagnostics, Inc	ID	Clinical Medical Laboratory	$0	$1.3M
Gabriel Morey	ID	Anatomic Pathology & Clinical Pathology Physician	$326.6K	$0
Joseph Johnson	ID	Optometrist	$112.7K	$0
Walgreen Co	ID	Pharmacy	$84.7K	$4.9K
David Kent	ID	Psychiatry Physician	$42K	$0
Christopher Gunderson	ID	Physician Assistant	$13.2K	$0

Alliance Medical Group, LLC — Billing Profile & Reimbursement Data

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Alliance Medical Group, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References