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.

Mountain View Hospital LLC (NPI 1669462362)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mountain View Hospital LLC
Address	2325 Coronado St
City	Idaho Falls
State	ID
ZIP	83404
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 24, 2005

Payer Source	Total Paid
Medicaid	$45.7M
Medicare	$0

MOUNTAIN VIEW HOSPITAL LLC is effectively a single-payer Medicaid operator: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $45.7M, indicating the provider’s billed activity and revenue are concentrated entirely in Medicaid for the available data. This payer concentration shapes both risk and competitive dynamics because Medicare-driven service lines are absent from the record.

Revenue concentration within Medicaid is high and top-heavy: the precomputed top three Medicaid codes account for 59.7% of the provider’s total Medicaid revenue, driven by 97530 ($10M, 23.3%), 92507 ($9.5M, 22.3%), and T1015 ($6.1M, 14.2%). That cluster shows the business relies heavily on a small set of high-volume therapy and clinic-encounter services for the majority of its Medicaid income.

Operational profile implied by the highest-revenue codes points to large outpatient therapy and rehabilitation throughput plus substantial clinic/encounter volume: 97530 (therapeutic activities) and 92507 (speech-language services) together generate $19.5M and collectively represent 45.6% of Medicaid revenue, while T1015 (clinic visit/encounter) adds $6.1M. These volumes suggest the hospital operates high-capacity PT/OT/SLP programs and clinic-based encounters — likely with a significant pediatric and rehabilitation focus given the prominence of speech therapy and procedure mix.

Competitive standing in-state is dominant for multiple high-volume therapy codes: 97530 ranks #1 of 282 providers in-state (100th percentile; extreme outlier) and 92507 ranks #1 of 210 providers in-state (100th percentile; extreme outlier). Those #1 rankings at the 100th percentile indicate MOUNTAIN VIEW HOSPITAL is a major statewide provider for these therapy services and is far above typical peer volumes.

Clinical breadth extends beyond therapy into outpatient procedures and specialty services, indicating service-line diversification: notable Medicaid revenue items include 41899 dental procedures ($2.9M, 6.9% of Medicaid revenue), 42820 tonsil/adenoid removal ($277.5K), 69436 tympanostomy ($311.7K), and 96413 chemotherapy ($278.1K). The presence of anesthesia code 00170 ($568K) and procedural codes for ENT, dental, and chemotherapy shows the facility supports surgical and specialty outpatient care alongside high therapy volumes.

The provider reports exceptionally large primary care and outpatient E/M volume under Medicaid: 99214 accounts for $5.8M (13.5%) and ranks #4 of 618 providers in-state (100th percentile; extreme outlier), while 99213 adds $2.5M (5.8%) and ranks #7 of 669 (99th percentile; extreme outlier). Those high-ranked E/M volumes imply the hospital maintains heavy longitudinal outpatient clinic activity and serves a large established patient population under Medicaid.

MOUNTAIN VIEW HOSPITAL also shows leadership in interventional pain and spine services within the state: codes such as 64493 ($303.2K, rank #1 of 6, 100th percentile; notably above typical state volume), 62323 ($189.5K, rank #1 of 12, 100th percentile; extreme outlier), and 64636 ($194.1K, rank #1 of 1) all appear among the top billings, indicating strong procedural capacity for image-guided injections and neurolytic facet procedures. This suggests an integrated outpatient procedural suite that complements its high therapy throughput.

Tenure and market presence are established: the provider’s NPI was enumerated on 2005-10-24 (~21 years ago), indicating long-standing participation in the Medicaid market. Given long tenure plus repeated top-state rankings across therapy, E/M, and interventional codes, the hospital appears to be a stable, high-volume Medicaid provider with concentrated exposure to therapy and outpatient procedural revenue streams.

Medicaid: Complete Services Breakdown

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

289 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	88,390	$110	$10M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	146,840	$70	$9.5M
T1015	Clinic visit/encounter, all-inclusive	35,810	$170	$6.1M
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…	107,330	$50	$5.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,780	$1,650	$2.9M
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…	67,300	$40	$2.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	17,410	$70	$1.1M
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	4,340	$130	$568K
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…	5,720	$80	$446.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,160	$140	$432.2K

Showing 1–10 of 289

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

Mountain View Hospital LLC — 18 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

289 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	16	140	5,470	$180	$2.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	20	500	$820	$662.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1	280	1,480	$70	$389.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1	210	3,020	$50	$389K
J0585	Injection, onabotulinumtoxina, 1 unit	8	10	300	$510	$359.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	26	40	530	$70	$237.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	5	20	4,340	$10	$236.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	5	20	110	$840	$224.4K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	3	20	230	$180	$199K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	1	10	480	$410	$194K

Showing 1–10 of 289

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Innovative Health Care Concepts, Inc	ID	Developmental Disabilities Clinic/Center	$0	$4.8M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0

Mountain View Hospital 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