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.

4 Pillars Of Success LLC (NPI 1619134277)

Field	Value
Entity Type	Organization
Organization	4 Pillars Of Success LLC
Address	1675 Curlew Dr
City	Ammon
State	ID
ZIP	83406
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 21, 2008

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Key Findings

This provider is effectively single-payer in our data: there is no Medicare billing on file while Medicaid revenue totals $8M, indicating the organization’s operations and revenue are concentrated in Medicaid-funded services. Analysts should treat Medicaid as the primary commercial lens for any utilization or contracting assessment.

Revenue is highly concentrated in a small set of behavioral-health claims: the precomputed top-3 Medicaid codes account for 76.0% of this provider's total Medicaid revenue, with H2017, H0038, and 90834 alone driving the large majority of billed dollars. This concentration suggests the business model is organized around a few high-volume service lines rather than a broad outpatient mix.

H2017 is the single dominant revenue driver: H2017 shows 45.2K claims, $87 avg paid/claim, and $3.9M revenue (49.1% of this provider's total Medicaid revenue) and ranks #2 of 135 providers in-state (99th percentile; extreme outlier). This indicates the organization operates at scale for psychosocial rehabilitation services relative to other in-state providers and likely runs programmatic or group-based rehabilitation capacities.

H0038 and 90834 are also major service lines: H0038 reports 20.4K claims, $60 avg paid/claim, $1.2M revenue (15.3% of total) and ranks #5 of 114 (96th percentile; notably above typical state volume), while 90834 shows 18.6K claims, $50 avg paid/claim, $931.2K revenue (11.6% of total) and ranks #10 of 413 (98th percentile; notably above typical state volume). Together these codes reinforce a clinical footprint focused on peer/self-help support and mid-length individual psychotherapy encounters.

T1017 and allied case-management/assessment codes support a care-management orientation: T1017 has 16.9K claims, $52 avg paid/claim, $877.6K revenue (11.0% of total) and ranks #13 of 186 (94th percentile; notably above typical state volume), with H0032 and H0031 appearing as additional non-physician mental health planning and assessment services. The presence of these codes indicates integrated targeted case management and non-physician care planning are systematically billed alongside psychotherapy and rehabilitation.

Several codes show outlier volumes that emphasize programmatic scale beyond routine office visits: 90785 (11K claims, $3 avg paid/claim, $33.1K revenue) ranks #2 of 126 (99th percentile; extreme outlier) and 99211 (5.2K claims, $21 avg paid/claim, $109.7K revenue) ranks #2 of 62 (98th percentile; notably above typical state volume). These high claim-count, low-dollar services are consistent with frequent brief contacts or add-on service billing associated with intensive behavioral-health programming.

Traditional evaluation-and-management office visits are present but not the primary revenue source: 99214 (5K claims, $52 avg paid/claim, $261.9K revenue) and 99215 (1.4K claims, $77 avg paid/claim, $111.3K revenue) are billed at levels described as typical or unremarkable by rank (88th and 91th percentiles respectively), indicating some physician or advanced-practice outpatient encounters occur but are secondary to programmatic behavioral-health services. Telehealth and transport codes (T1014, T2002) appear at modest volumes, suggesting limited but existent auxiliary service billing.

The provider has established tenure in the marketplace, with an NPI enumerated on 2008-05-21 (~18 years ago), supporting the interpretation that these high Medicaid volumes reflect sustained program operations rather than a short-term surge. For payer strategy and network planning, this profile reads as a long-standing, Medicaid-focused behavioral health provider with concentrated programmatic service lines and demonstrable in-state dominance on several psychosocial and peer-support codes.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	45,210	$90	$3.9M
H0038	Self‑help/peer services, per 15 minutes	20,400	$60	$1.2M
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…	18,620	$50	$931.2K
T1017	Targeted case management, each 15 minutes	16,880	$50	$877.6K
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…	5,040	$50	$261.9K
H0032	Mental health service plan development by non-physician	960	$170	$157.9K
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…	1,450	$80	$111.3K
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.	5,220	$20	$109.7K
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…	1,280	$80	$100.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	940	$80	$77.9K

Showing 1–10 of 25

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

4 Pillars Of Success LLC — 5 of 23 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	2	140	2,000	$110	$633.3K
H0038	Self‑help/peer services, per 15 minutes	5	110	1,730	$90	$436.4K
T1017	Targeted case management, each 15 minutes	13	190	1,060	$60	$221.8K
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…	372	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…	73	620	560	$60	$191.8K
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…	10	410	740	$60	$174.3K
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…	13	140	100	$90	$54.4K
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…	32	150	210	$80	$52.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	16	260	200	$90	$47.8K
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…	157	180	70	$110	$45.6K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with 4 Pillars Of Success LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
4 Pillars Of Success LLC	ID	Clinic/Center	$0	$697.9K

Nearby Providers

Other providers in the same ZIP code as 4 Pillars Of Success LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Royal Journeys LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$38.3M
Just 4 Kids Pediatrics	ID	Pediatrics Physician	$0	$10.8M
Qualicare Inc.	ID	Nursing Care Agency	$0	$10.3M
Pearl Health Clinic	ID	Mental Health Counselor	$0	$9.9M
A Childs Smile	ID	Pediatric Dentistry	$0	$4.4M
4 Pillars Of Success LLC	ID	Psychologist	$0	$3.3M
Lincare Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$2M
Darryl Moffett	ID	Ophthalmology Physician	$2M	$0
Idaho Falls Pediatric Dentistry, PLLC	ID	Pediatric Dentistry	$0	$1.2M
Healthy Care Solutions, LLC	ID	Community/Behavioral Health Agency	$0	$676K

4 Pillars Of Success LLC — Billing Profile & Reimbursement Data

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4 Pillars Of Success 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