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    OpenPayerNPI Medicare & MedicaidSt. Fillan's, LLC
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    St. Fillan's, LLC — Billing Profile & Reimbursement Data

    NPI 1750711362 · Meridian, ID · In Home Supportive Care Agency

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    St. Fillan's, LLC is a in home supportive care agency provider located in Meridian, Idaho. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt. Fillan's, LLC
    Address226 E 5th St
    CityMeridian
    StateID
    ZIP83642
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedNovember 18, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10.5M
    Medicare$0

    Key Findings

    ST. FILLAN'S, LLC is effectively a single-payer Medicaid operation: there is no Medicare billing on file and all recorded lifecycle revenue is Medicaid at $10.5M. This concentration makes Medicaid policy, reimbursement rates, and state plan details the primary drivers of the provider's financial performance and market risk.

    Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with two codes reported that together sum to that share. H2016 accounts for $8.1M (77.3%) and H2022 accounts for $2.4M (22.7%), indicating nearly all income is tied to these community-based per-diem services.

    The dominant codes are per-diem community support services: H2016 (Comprehensive community support services, per diem) and H2022 (Community-based wrap-around services, per diem). This code mix — combined with the provider taxonomy of In Home Supportive Care Agency — suggests operations focused on ongoing, community-based supportive care and wrap-around services rather than episodic, procedure-based clinical care.

    Operational intensity can be inferred from claim counts and average paid per claim: H2016 has 2.5K claims with an average paid per claim of $3296, and H2022 has 911 claims with an average paid per claim of $2629. The per-diem payment structure and these relatively high avg paid/claim figures imply revenue is driven by daily or multi-day service delivery patterns rather than single-encounter billing.

    Competitive standing within Idaho is modest rather than dominant. H2016 ranks #4 of 6 providers in-state (40th percentile) and is described as a typical, unremarkable volume for this code; H2022 ranks #13 of 14 providers in-state (8th percentile) and likewise carries a label of typical, unremarkable volume, indicating ST. FILLAN'S is not a leading market share holder for these services statewide.

    Neither top code is flagged as an outlier in the supplied data: both H2016 and H2022 are characterized as typical, unremarkable volume relative to in-state peers. This suggests the provider’s use of these codes aligns with common practice patterns in its state rather than representing an extreme deviation from peers.

    The provider has a long-established billing presence under its NPI: enumerated on 2013-11-18 (~13 years ago). That tenure, combined with concentrated Medicaid revenue, signals an experienced, specialized operator in community-based supportive care whose fortunes are closely tied to state Medicaid demand and reimbursement for per-diem services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem2,470$3,300$8.1M
    H2022Community-based wrap-around services, per diem910$2,630$2.4M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Idaho median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem4102,910$1,720$17.9M
    H2022Community-based wrap-around services, per diem13106,010$820$8.9M

    Nearby Providers

    Other providers in the same ZIP code as St. Fillan's, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Norco, Inc.IDDurable Medical Equipment & Medical Supplies$0$41M
    Joint School District No. 2IDLocal Education Agency (LEA)$0$34.2M
    Chatterbox Speech & Language CenterIDSpeech-Language Pathologist$0$10.6M
    Southern Idaho Health Partners LLCIDGeneral Practice Physician$0$9.2M
    Gem State Developmental Center LLCIDDevelopmentally Disabled Services Day Training Agency$0$9.1M
    Addus Healthcare, Inc.IDIn Home Supportive Care Agency$0$6.1M
    Northwest Neurobehavioral Health, LLCIDClinical Social Worker$0$5.2M
    Idaho Pediatric Therapy Clinic PLLCIDPhysical Therapist$0$3.1M
    Cpapnow IncIDDurable Medical Equipment & Medical Supplies$0$3.1M
    Slh Hti West Manager, LLCIDAssisted Living Facility$0$2.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Idaho Providers
    4 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    St. Fillan's, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho