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.

Pride Mental Health (NPI 1588199277)

Field	Value
Entity Type	Organization
Organization	Pride Mental Health
Address	9488 W Fairview Ave
City	Boise
State	ID
ZIP	83704
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 1, 2017

Payer Source	Total Paid
Medicaid	$405.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	3,800	$60	$216.8K
T1017	Targeted case management, each 15 minutes	710	$110	$76.3K
T1013	Sign language or oral interpretive services, per 15 minutes	340	$80	$28.3K
H0038	Self‑help/peer services, per 15 minutes	250	$110	$25.8K
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…	280	$80	$21.1K
H0032	Mental health service plan development by non-physician	430	$50	$20.1K
T2002	Non-emergency transportation; per diem	320	$20	$6.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	40	$100	$4.2K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	450	$10	$3.6K
H0031	Mental health assessment, by non-physician	20	$210	$3.1K

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

Pride Mental Health — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	26	40	960	$70	$461.2K
H0038	Self‑help/peer services, per 15 minutes	86	110	1,730	$90	$436.4K
T1017	Targeted case management, each 15 minutes	107	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…	87	410	740	$60	$174.3K
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…	64	150	210	$80	$52.7K
H0032	Mental health service plan development by non-physician	32	110	150	$70	$37.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	125	220	60	$100	$25.5K
H0031	Mental health assessment, by non-physician	118	140	70	$90	$20.2K
T2002	Non-emergency transportation; per diem	34	50	450	$10	$13.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	49	130	250	$1	$5.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Martin	ID	Mental Health Counselor	$0	$482.5K

Nearby Providers

Other providers in the same ZIP code as Pride Mental Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Full Circle Health, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$53.3M
Community Connections, Inc	ID	Case Management Agency	$0	$30M
K A Health Services LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
County Of Ada	ID	Land Ambulance	$2M	$11.4M
Developmental Concepts, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$13.2M
Pathways Of Idaho, LLC	ID	Community/Behavioral Health Agency	$0	$12M
Havenwood Caregiver Services Of Idaho, LLC	ID	In Home Supportive Care Agency	$0	$10.7M
Living Independently Forever, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.6M
All Horizons Inc	ID	Mental Health Counselor	$0	$6.7M

Pride Mental Health — Billing Profile & Reimbursement Data

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Pride Mental Health — 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