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.

Innovative Health Care Concepts, Inc (NPI 1598975658)

Field	Value
Entity Type	Organization
Organization	Innovative Health Care Concepts, Inc
Address	1545 S Boulevard
City	Idaho Falls
State	ID
ZIP	83404
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	14,420	$140	$2M
H2019	Therapeutic behavioral services, per 15 minutes	8,190	$120	$950.3K
H2032	Activity therapy, per 15 minutes	13,050	$40	$495.9K
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	20,240	$20	$445.3K
H2015	Comprehensive community support services, per 15 minutes	6,180	$50	$327.7K
96152	N/A	2,270	$130	$288.8K
S5100	Day care services, adult; per 15 minutes	9,710	$20	$155.3K
T1027	Family training and counseling for child development, per 15 minutes	1,550	$40	$60.6K
H2014	Skills training and development, per 15 minutes	300	$110	$31.3K
T1005	Respite care services, up to 15 minutes	430	$30	$12.2K

Showing 1–10 of 12

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

Innovative Health Care Concepts, Inc — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	34	160	4,020	$140	$1.6M
H2032	Activity therapy, per 15 minutes	24	40	19,190	$50	$1.6M
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	23	40	30,150	$20	$1.2M
H2014	Skills training and development, per 15 minutes	44	60	2,500	$60	$613.3K
H2019	Therapeutic behavioral services, per 15 minutes	11	60	2,960	$120	$609.8K
96152	N/A	37	70	2,270	$80	$608.8K
S5100	Day care services, adult; per 15 minutes	19	40	9,710	$30	$577.7K
H2015	Comprehensive community support services, per 15 minutes	15	50	2,960	$100	$570.3K
T1005	Respite care services, up to 15 minutes	4	10	1,590	$80	$123.7K
T1027	Family training and counseling for child development, per 15 minutes	18	40	1,050	$40	$66.8K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Innovative Health Care Concepts, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Hospital LLC	ID	General Acute Care Hospital	$0	$45.7M
Eastern Idaho Health Services Inc	ID	General Acute Care Hospital	$0	$12.1M
Rm Lab LLC	ID	Clinical Medical Laboratory	$1.1M	$8.2M
Medical Center For Children & Adolescents, PA	ID	Pediatrics Physician	$0	$8.8M
Aaa American Healthcare LLC	ID	Mental Health Counselor	$0	$8.7M
Intermountain Emergency Physicians	ID	Emergency Medicine Physician	$0	$6.6M
24-7 Professional Solutions	ID	In Home Supportive Care Agency	$0	$5.9M
Just 4 Kids Health LLC	ID	Urgent Care Clinic/Center	$0	$5.2M
Foothills Rehabilitation & Performance Services, PLLC	ID	Physical Therapist	$0	$5M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0

Innovative Health Care Concepts, Inc — Billing Profile & Reimbursement Data

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Innovative Health Care Concepts, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References