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.

D6 Treatment (NPI 1689218018)

Field	Value
Entity Type	Organization
Organization	D6 Treatment
Address	1001 N 7th Ave Ste 260
City	Pocatello
State	ID
ZIP	83201
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	October 29, 2019

Payer Source	Total Paid
Medicaid	$788.4K
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
H0005	Alcohol and/or drug services; group counseling by a clinician	10,180	$50	$498.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,400	$60	$207.6K
T1014	Telehealth transmission, per minute, professional services bill separately	3,650	$20	$65.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	70	$110	$7.3K
T1017	Targeted case management, each 15 minutes	80	$50	$4.5K
H0001	Alcohol and/or drug assessment	10	$350	$4.2K

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

D6 Treatment — 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	85	160	4,020	$140	$1.6M
H0005	Alcohol and/or drug services; group counseling by a clinician	14	80	2,240	$50	$257.3K
T1017	Targeted case management, each 15 minutes	163	190	1,060	$60	$221.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	99	220	60	$100	$25.5K
T1014	Telehealth transmission, per minute, professional services bill separately	8	130	450	$20	$19.1K
H0001	Alcohol and/or drug assessment	22	20	50	$100	$18.2K

Nearby Providers

Other providers in the same ZIP code as D6 Treatment, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moonlight Mountain Recovery, Inc	ID	Substance Abuse Rehabilitation Facility	$0	$17.7M
Pocatello Children & Adolescent Clinic	ID	Pediatrics Physician	$0	$11M
Speech Therapy Services, LLC	ID	Speech-Language Pathologist	$0	$8.5M
Pocatello Chubbuck School District #25	ID	Local Education Agency (LEA)	$0	$7.9M
Facial & Oral Surgery Associates, Inc.	ID	Oral and Maxillofacial Surgery (Dentist)	$0	$6.3M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.2M
Pocatello Hospital LLC	ID	General Acute Care Hospital	$0	$6.1M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$5.9M
Rocky Mountain Physician Group LLC	ID	Emergency Medicine Physician	$0	$5.5M
Community Mental Health	ID	Community/Behavioral Health Agency	$0	$4.3M

D6 Treatment — Billing Profile & Reimbursement Data

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D6 Treatment — 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