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.

A&r Case Management (NPI 1790845154)

Field	Value
Entity Type	Organization
Organization	A&r Case Management
Address	210 Holly St
City	Nampa
State	ID
ZIP	83686
Taxonomy	Case Management Agency
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$18.1M
Medicare	$0

Key Findings

A&R CASE MANAGEMENT appears to be effectively a Medicaid-focused case management and behavioral health services provider: there is no Medicare billing on file while Medicaid revenue totals $18.1M, indicating the organization operates primarily within Medicaid programs and likely delivers community-based mental health, behavioral, and supportive services rather than typical Medicare-covered medical or acute care. The provider’s NPI was enumerated on 2006-12-08 (~20 years ago), showing long-tenured participation in the Medicaid system which supports an established operational footprint in Idaho.

Revenue concentration is high: the precomputed top three Medicaid codes account for 66.7% of the provider’s total Medicaid revenue, with H2022 alone making up $6M (32.9% of Medicaid revenue). This concentration indicates the business model is heavily weighted toward a small set of services—primarily community-based wrap-around and behavioral therapy services—so changes in reimbursement or utilization for those codes would materially affect total revenue.

Service-line mix points to community-based behavioral health and therapeutic support as the core offering. The top codes are H2022 (Community-based wrap-around services), H0004 (Behavioral health counseling and therapy), and H2019 (Therapeutic behavioral services); together these codes reflect intensive per-diem and per-15-minute behavioral health interventions and case-management-style services rather than habilitation or medical specialty procedures. Ancillary codes such as 92507 (speech/communication assessment) and 96152 (psych testing/service) suggest the organization also provides therapy and assessment supports commonly bundled into community and behavioral health programs.

Competitive standing in-state is mixed but generally strong for key behavioral codes. A&R CASE MANAGEMENT ranks #2 of 14 providers for H2022 (92nd percentile), and ranks #5 of 60 for H2019 (93rd percentile), indicating it is a major regional provider for wrap-around services and therapeutic behavioral services. For H0004 it ranks #25 of 157 (85th percentile), which is still above typical state volume but not singularly dominant, suggesting the provider competes at scale across multiple behavioral service lines.

Several individual code-level percentile notes indicate where the provider is unusually concentrated or more typical. H2019 is described as "notably above typical state volume," reflecting a stronger-than-average position in therapeutic behavioral services; other high-volume codes such as H2022 and H0004 are characterized as "typical, unremarkable volume" despite large dollar contributions, meaning the provider’s volumes are sizable but within the competitive range for Idaho. Lower-percentile codes like T1019 and S5100 (27th and 22nd percentiles respectively) show the provider is less active or less competitive in certain personal care and adult day services niches.

Payer mix is effectively single-payer Medicaid: the absence of any Medicare revenue on file contrasted with $18.1M in Medicaid revenue makes A&R CASE MANAGEMENT a Medicaid-dependent entity. This single-payer exposure concentrates reimbursement risk and strategic opportunity in state Medicaid policy, rate-setting, and managed-care contracting rather than federal Medicare dynamics.

Operational implications: given the dominant role of per-diem and per-15-minute behavioral health codes (H2022, H0004, H2019), the provider’s staffing, scheduling, and billing infrastructure is likely optimized for frequent, time-based encounters and interdisciplinary care coordination. The presence of coordinated care fee codes (G9002, G9007) and family training (T1027) further suggests engagement in team-based care planning and caregiver-focused services, consistent with wrap-around and community support models.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	21,580	$280	$6M
H0004	Behavioral health counseling and therapy, per 15 minutes	20,350	$200	$4.1M
H2019	Therapeutic behavioral services, per 15 minutes	14,660	$140	$2.1M
H2015	Comprehensive community support services, per 15 minutes	14,900	$120	$1.8M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	17,760	$60	$1.1M
96152	N/A	5,070	$170	$852.4K
H2016	Comprehensive community support services, per diem	1,210	$490	$591.9K
H2032	Activity therapy, per 15 minutes	11,620	$50	$522.7K
G9002	Coordinated care fee, maintenance rate	15,570	$30	$404.8K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	4,480	$60	$246.5K

Showing 1–10 of 16

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

A&r Case Management — 0 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	6	10	2,910	$1,720	$17.9M
H2022	Community-based wrap-around services, per diem	2	10	6,010	$820	$8.9M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	74	100	11,400	$80	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	25	160	4,020	$140	$1.6M
H2032	Activity therapy, per 15 minutes	25	40	19,190	$50	$1.6M
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	33	40	30,150	$20	$1.2M
G9002	Coordinated care fee, maintenance rate	17	40	11,630	$40	$913.2K
H2019	Therapeutic behavioral services, per 15 minutes	5	60	2,960	$120	$609.8K
96152	N/A	23	70	2,270	$80	$608.8K
S5100	Day care services, adult; per 15 minutes	29	40	9,710	$30	$577.7K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with A&r Case Management, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brenda Stieg	ND	Speech-Language Pathologist	$0	$16.3K

Nearby Providers

Other providers in the same ZIP code as A&r Case Management, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
High Valley Developmental	ID	Developmentally Disabled Services Day Training Agency	$0	$15.5M
Nampa School District #131	ID	Local Education Agency (LEA)	$0	$15.2M
The Lilypad, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Witco, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Allegiant Health LLC	ID	In Home Supportive Care Agency	$0	$6.9M
Vics Family Pharmacy Inc	ID	Pharmacy	$28.2K	$4.9M
Children's Dentistry Of Idaho, PLLC	ID	Pediatric Dentistry	$0	$3.9M
Idaho Dental Aid PLLC	ID	Dentist	$0	$3.6M
All For One, LLC	ID	Case Management Agency	$0	$2.5M
Another Choice Virtual Charter School, Inc	ID	Local Education Agency (LEA)	$0	$2.3M

A&r Case Management — Billing Profile & Reimbursement Data

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A&r Case Management — 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