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.

Oneida County Hospital (NPI 1710041785)

Field	Value
Entity Type	Organization
Organization	Oneida County Hospital
Address	220 Bannock St
City	Malad City
State	ID
ZIP	83252
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	December 21, 2006

Payer Source	Total Paid
Medicaid	$919.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	10,120	$90	$910.9K
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…	1,700	$1	$5.1K
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…	3,170	$1	$3.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	70	$1	$150

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

Oneida County Hospital — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	53	140	5,470	$180	$2.6M
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…	164	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…	198	620	560	$60	$191.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	119	210	90	$20	$10.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oneida County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Harris	ID	Diagnostic Radiology Physician	$144.6K	$0
Mark Rasmus	ID	Specialist	$110.9K	$0
Reuel Measom	NM	Interventional Pain Medicine Physician	$106.2K	$0
Matthew Bitner	UT	Orthopaedic Surgery Physician	$77K	$0
Brent Felix	UT	Orthopaedic Surgery of the Spine Physician	$66K	$0
Steven Webster	ID	Family Medicine Physician	$59.2K	$0
Ariel Taysom	ID	Physician Assistant	$51K	$0
Amy Fisher	UT	Medical Physician Assistant	$43.9K	$0
Jess Field	ID	Certified Registered Nurse Anesthetist	$33.3K	$0
Jennifer Hale	ID	Sleep Medicine (Family Medicine) Physician	$6.7K	$0

Nearby Providers

Other providers in the same ZIP code as Oneida County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joann's Shuttle	ID	Non-emergency Medical Transport (VAN)	$0	$395.6K
Oneida School District	ID	Local Education Agency (LEA)	$0	$378.5K
Mel Bingham	ID	Physician Assistant	$27.9K	$0
James Pickett	ID	Family Medicine Physician	$320	$0

Oneida County Hospital — Billing Profile & Reimbursement Data

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Oneida County Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References