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.

North Star Child Development Center (NPI 1760684153)

Field	Value
Entity Type	Organization
Organization	North Star Child Development Center
Address	1583 W Dalton Ave
City	Coeur D Alene
State	ID
ZIP	83815
Taxonomy	Clinic/Center
NPI Enumerated	June 5, 2007

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and total Medicaid revenue is $9.4M, indicating Medicaid is the sole reported source of fee-for-service revenue in the dataset. The practice has an established presence, with an NPI enumerated on 2007-06-05 (~19 years ago), which supports a multi-year operating history in the market.

Revenue is highly concentrated in a very small set of billing lines: the top three Medicaid codes account for 97.7% of this provider’s Medicaid revenue. H0004 accounts for $7.3M (77.8% of Medicaid revenue), H2019 accounts for $1.3M (14.0%), and 96152 accounts for $560.9K (5.9%), meaning these three codes together drive virtually all reported Medicaid receipts.

The code mix points to a child-focused behavioral health operation: H0004 (Behavioral health counseling and therapy, per 15 minutes) and H2019 (Therapeutic behavioral services, per 15 minutes) are the dominant lines, which suggests session-based, short-interval therapeutic services are the core service model. The per-15-minute billing units imply high-frequency, time-based encounters rather than single, high-value procedures.

96152 is the third-largest revenue driver but has no description available on file; it contributes $560.9K and 5.9% of Medicaid revenue and is a secondary revenue source relative to the two dominant behavioral codes. This code ranks #40 of 73 providers in-state (46th percentile; typical, unremarkable volume for this code), indicating a middling in-state presence for that line.

Competitive standing on the state level is modest: H0004 ranks #27 of 157 providers in-state (83th percentile; typical, unremarkable volume for this code) and H2019 ranks #24 of 60 (61th percentile; typical, unremarkable volume for this code). These ranks show the provider is a meaningful participant in core behavioral service lines but is not a statewide dominant outlier.

Average paid-per-claim figures reinforce the session-based model and revenue profile: H0004 average paid/claim is $395, H2019 average paid/claim is $315, and 96152 average paid/claim is $289. Smaller contributing codes show lower average payments and limited volume—H2015 $157K at $200 avg paid/claim (rank #34 of 45, 25th percentile; typical), H0032 $43.7K at $197 avg paid/claim (rank #43 of 106, 60th percentile; typical), T1027 $14.1K at $67 avg paid/claim (rank #40 of 44, 9th percentile; typical), and T2024 $4K at $233 avg paid/claim (rank #14 of 15, 7th percentile; typical).

The narrow service mix and high revenue concentration create operational sensitivity to Medicaid policy or rate changes: because 97.7% of Medicaid revenue is tied to H0004, H2019, and 96152, any changes to reimbursement, prior authorization, or program rules for these specific codes could materially affect total revenue. The absence of Medicare activity also means the provider has limited payer diversification to mitigate Medicaid-specific revenue risk.

Smaller community-support and administrative lines are present but not material to scale or diversification: H2015 (Comprehensive community support services) contributes $157K and ranks #34 of 45 in-state, while H0032 (Mental health service plan development by non-physician) and T1027 (Family training and counseling for child development) together represent a very small fraction of revenue. Overall, the data describe a clinic/center model focused on high-volume, time-based behavioral therapy services for the Medicaid population rather than a broad multi-service medical practice.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	18,580	$400	$7.3M
H2019	Therapeutic behavioral services, per 15 minutes	4,190	$320	$1.3M
96152	N/A	1,940	$290	$560.9K
H2015	Comprehensive community support services, per 15 minutes	790	$200	$157K
H0032	Mental health service plan development by non-physician	220	$200	$43.7K
T1027	Family training and counseling for child development, per 15 minutes	210	$70	$14.1K
T2024	Service assessment/plan of care development, waiver	20	$230	$4K

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

North Star Child Development Center — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	27	160	4,020	$140	$1.6M
H2019	Therapeutic behavioral services, per 15 minutes	24	60	2,960	$120	$609.8K
96152	N/A	40	70	2,270	$80	$608.8K
H2015	Comprehensive community support services, per 15 minutes	34	50	2,960	$100	$570.3K
T1027	Family training and counseling for child development, per 15 minutes	40	40	1,050	$40	$66.8K
T2024	Service assessment/plan of care development, waiver	14	20	270	$120	$42.3K
H0032	Mental health service plan development by non-physician	43	110	150	$70	$37.3K

Nearby Providers

Other providers in the same ZIP code as North Star Child Development Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Syringa Family Partnership, LLC	ID	Early Intervention Provider Agency	$0	$10.4M
David Bartels	ID	Hematology & Oncology Physician	$3.5M	$0
Tesh, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$3.5M
Jump Start Pediatric Therapy, LLC	ID	Physical Therapy Clinic/Center	$0	$3.3M
Synergy Healthcare For Kids Inc.	ID	Rehabilitation Clinic/Center	$0	$1.8M
George J Loftus Iii, Dds, LLC	ID	General Practice Dentistry	$0	$1.8M
A Compassionate In-home Care LLC	ID	In Home Supportive Care Agency	$0	$1.6M
Howard Kenney	ID	Rheumatology Physician	$1.2M	$0
Rathdrum Clinic, Inc.	ID	Addiction Medicine (Family Medicine) Physician	$0	$1.1M
Dustin Dinning	ID	Rheumatology Physician	$1.1M	$0

North Star Child Development Center — Billing Profile & Reimbursement Data

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North Star Child Development Center — 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

Nearby Providers

Frequently Asked Questions

References