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.

Human Supports Of Idaho (NPI 1700129491)

Field	Value
Entity Type	Organization
Organization	Human Supports Of Idaho
Address	206 E Elm St
City	Caldwell
State	ID
ZIP	83605
Taxonomy	General Practice Physician
NPI Enumerated	April 1, 2013

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $9.4M, indicating the practice’s entire observed public reimbursement footprint comes from Medicaid. Analysts should treat findings below as a Medicaid-dominant profile rather than a dual‑payer operation.

Revenue is highly concentrated in three service lines: H0038 ($3.1M, 32.9%), H2017 ($1.8M, 19.8%), and T1017 ($1.8M, 19.5%) — the precomputed top‑3 share accounts for 72.1% of this provider’s total Medicaid revenue. This concentration means a small set of behavioral health and case‑management codes drives most of the $9.4M Medicaid intake, increasing sensitivity to policy or pricing changes for those codes.

The code mix points to a behavioral health and community support operating model: H0038 (Self‑help/peer services), H2017 (Psychosocial rehabilitation services), and T1017 (Targeted case management) dominate revenue, which is consistent with high‑volume peer support, habilitation/rehabilitation programming, and care coordination rather than primary care or procedural specialties. The presence of substantial psychotherapy codes (90834 and 90837) and group counseling (H0005) further supports a mission centered on outpatient mental health and substance‑use services.

Competitive standing is asymmetric across codes: H0038 ranks #3 of 114 in‑state (98th percentile; extreme outlier) and T1017 ranks #2 of 186 (99th percentile; extreme outlier), signaling this provider is a dominant statewide player for peer services and targeted case management. By contrast, H2017 ranks #10 of 135 (93th percentile; described as typical/unremarkable), so the provider’s psychosocial rehab volume is strong but not uniquely outsized compared with peers.

Psychotherapy volume is substantial and contributes meaningful revenue: 90834 shows 15.6K claims and $779.8K revenue (8.3% of Medicaid revenue) and 90837 shows 4.3K claims and $282K revenue (3.0%). These counts and ranks (90834 is 96th percentile statewide) indicate the organization delivers large volumes of one‑to‑one psychotherapy in addition to peer and case‑management services, suggesting integrated clinical and support program delivery.

Reimbursement mix across the top codes shows differing average paid per claim: H0038 averages $105/claim, H2017 $111/claim, and T1017 $59/claim. The gap between higher per‑claim payments for psychosocial and peer services versus lower per‑unit payments for targeted case management suggests revenue growth has been achieved through very high volume in lower‑paid, high‑time units (T1017) alongside higher‑paid supportive services (H0038/H2017).

Operational footprint includes telehealth and ancillary services: T1014 (telehealth transmission) appears with 4K claims and $64.6K revenue and ranks #7 of 125 (95th percentile), indicating notable use of telehealth channels for professional services. Additional codes such as H0005 (group counseling), T1016 (case management), and testing codes (80305, 96372) reflect a broad service mix that supports both clinical therapy and coordination/case management workflows.

The provider has an established presence with NPI enumerated 2013-04-01 (~13 years ago), which combined with the extreme outlier rankings on core codes suggests a sustained specialization in Medicaid‑funded behavioral health services. For payers and contracting teams, that tenure plus concentrated Medicaid volume signals an experienced, program‑focused partner whose financial and operational performance is closely tied to behavioral health and case‑management reimbursement policies.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	29,330	$110	$3.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	16,660	$110	$1.8M
T1017	Targeted case management, each 15 minutes	30,900	$60	$1.8M
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…	15,600	$50	$779.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	11,140	$60	$646.3K
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…	4,340	$70	$282K
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…	5,660	$40	$248.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,210	$90	$104.1K
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…	1,000	$90	$90.5K
T1014	Telehealth transmission, per minute, professional services bill separately	4,040	$20	$64.6K

Showing 1–10 of 34

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

Human Supports Of Idaho — 6 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	124	160	4,020	$140	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	10	140	2,000	$110	$633.3K
H0038	Self‑help/peer services, per 15 minutes	3	110	1,730	$90	$436.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	13	80	2,240	$50	$257.3K
T1017	Targeted case management, each 15 minutes	2	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…	204	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…	65	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…	17	410	740	$60	$174.3K
T1016	Case management, each 15 minutes	16	60	420	$70	$76.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	11	30	790	$30	$68.4K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Human Supports Of Idaho, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Quinn	NV	Psychiatry Physician	$604.9K	$23.8K
James Mauldin	CO	Psychiatry Physician	$268.4K	$0
Ki Kurtz	OR	Psychiatry Physician	$158K	$0
Brian Berrett	UT	Psychiatry Physician	$83.4K	$0
Meredith Sievers	ID	Psychiatric/Mental Health Nurse Practitioner	$54.4K	$0
Thadeus Koontz	CA	Psychiatry Physician	$50.2K	$0
Toni Keel	WA	Gerontology Nurse Practitioner	$48.7K	$0
Duke Nyarecha	ID	Psychiatric/Mental Health Nurse Practitioner	$38.5K	$0
Sara Mitchem	ID	Psychiatric/Mental Health Nurse Practitioner	$32.4K	$0
Victor Onodjacha	TX	Psychiatric/Mental Health Nurse Practitioner	$16.2K	$0

Nearby Providers

Other providers in the same ZIP code as Human Supports Of Idaho, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Alphonsus Regional Medical Center Inc	ID	Family Medicine Physician	$0	$32.6M
Saint Alphonsus Regional Medical Center Inc	ID	Rural Health Clinic/Center	$0	$9.9M
County Of Canyon Canyon Co School Dist 132	ID	Local Education Agency (LEA)	$0	$8.3M
West Valley Medical Center, Inc.	ID	General Acute Care Hospital	$0	$7.8M
Carepoint Health Emergency Medicine Idaho, PLLC	ID	Emergency Medicine Physician	$0	$4.3M
Mana Resources LLC	ID	Community/Behavioral Health Agency	$0	$3.1M
Family Eyecare Specialists PLLC	ID	Optometrist	$0	$2.9M
Hope House, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$2.4M
West Valley Medical Group LLC	ID	Internal Medicine Physician	$0	$2.1M
Easterseals-goodwill Northern Rocky Mountain, Inc	ID	Community/Behavioral Health Agency	$0	$2M

Human Supports Of Idaho — Billing Profile & Reimbursement Data

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Human Supports Of Idaho — 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