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.

Southeastern Idaho Developmental Center, Inc. (NPI 1629124987)

Field	Value
Entity Type	Organization
Organization	Southeastern Idaho Developmental Center, Inc.
Address	765 W Judicial St
City	Blackfoot
State	ID
ZIP	83221
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	4,160	$120	$515.5K
S5100	Day care services, adult; per 15 minutes	7,390	$60	$472.9K
H2032	Activity therapy, per 15 minutes	8,380	$40	$326.7K
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…	10,410	$20	$249.8K
H2019	Therapeutic behavioral services, per 15 minutes	870	$140	$117.2K
96152	N/A	390	$180	$70.6K

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

Southeastern Idaho Developmental Center, Inc. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	78	160	4,020	$140	$1.6M
H2032	Activity therapy, per 15 minutes	29	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…	32	40	30,150	$20	$1.2M
H2019	Therapeutic behavioral services, per 15 minutes	46	60	2,960	$120	$609.8K
96152	N/A	66	70	2,270	$80	$608.8K
S5100	Day care services, adult; per 15 minutes	24	40	9,710	$30	$577.7K

Nearby Providers

Other providers in the same ZIP code as Southeastern Idaho Developmental Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mvh Bmc LLC	ID	Rural Health Clinic/Center	$0	$11.6M
Bmh Inc.	ID	Rural Health Clinic/Center	$0	$5.8M
Camp Hippo Pediatric Therapy LLC	ID	Occupational Therapist	$0	$5.5M
J&m Mental Health, Inc.	ID	Social Worker	$0	$4.5M
Bmh Inc	ID	Critical Access Hospital	$0	$3.5M
Bmh Inc	ID	Rural Health Clinic/Center	$0	$2.6M
Bmh, Inc.	ID	Surgery Physician	$0	$2.3M
Titan Willow Operator LLC	ID	Assisted Living Facility	$0	$1.5M
City Of Blackfoot	ID	Land Ambulance	$234.1K	$785.5K
Gables Holdings LLC	ID	Assisted Living Facility	$0	$1M

Southeastern Idaho Developmental Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Southeastern Idaho Developmental Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Southeastern Idaho Developmental Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Southeastern Idaho Developmental Center, Inc. — 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