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.

Medical Directors Of Idaho PLLC (NPI 1710392410)

Medical Directors Of Idaho PLLC is a internal medicine physician provider located in Nampa, Idaho. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Medical Directors Of Idaho PLLC
Address	404 N Horton St
City	Nampa
State	ID
ZIP	83651
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 23, 2014

Payer Source	Total Paid
Medicaid	$921.3K
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	15,420	$30	$385.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	5,760	$60	$322.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1,480	$40	$59.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	830	$50	$43.1K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	340	$100	$34.6K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	640	$50	$32.6K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	460	$40	$16.2K
M0243	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring	60	$140	$7.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	430	$20	$6.4K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	210	$30	$5.5K

Showing 1–10 of 14

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

Medical Directors Of Idaho PLLC — 4 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	35	60	1,370	$50	$151.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	38	40	480	$60	$71.5K
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…	1	30	790	$30	$68.4K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1	20	580	$40	$53.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	3	20	200	$40	$33.1K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	5	10	340	$40	$26K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	12	30	140	$20	$15K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	2	10	70	$50	$14K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	4	10	130	$20	$12.3K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	5	10	90	$20	$11.5K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Williams	ID	Internal Medicine Physician	$224K	$0
Nathan Hicks	ID	Internal Medicine Physician	$132.6K	$0
Adam Schwind	ID	Family Medicine Physician	$118.9K	$0
Jan King	ID	Family Nurse Practitioner	$104.2K	$0
Robert Petersen	ID	Hospitalist Physician	$95.2K	$0
Eric Maus	ID	Physician Assistant	$75.1K	$0
Ann Hornbaker	ID	Adult Health Nurse Practitioner	$50.3K	$0
Cameron Allen	ID	Hospitalist Physician	$44.1K	$0
Charles Sherwood	ID	Physician Assistant	$30.8K	$0
Ryan Townsend	ID	Internal Medicine Physician	$15.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1 - & - 1 - Aaa Home Care, Incorporated	ID	In Home Supportive Care Agency	$0	$12.1M
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.4M
Advocates For Inclusion	ID	Developmentally Disabled Services Day Training Agency	$0	$5.8M
Centerpointe, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$2M
Centerpointe, Inc.	ID	Community/Behavioral Health Agency	$0	$2M
Idaho Therapy Source	ID	Occupational Therapist	$0	$1.9M
Idaho Dept Of Health & Welfare Itp Region 3	ID	Early Intervention Provider Agency	$0	$1.6M
Eyecare Associates Of Nampa PA	ID	Optometrist	$0	$1.3M
Waypoint Developmental Center LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Stellar Mental Health & Mediation, LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1M

Medical Directors Of Idaho PLLC — Billing Profile & Reimbursement Data

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Medical Directors Of Idaho PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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