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.

Shoshone Bannock Tribes, Inc (NPI 1801949763)

Field	Value
Entity Type	Organization
Organization	Shoshone Bannock Tribes, Inc
Address	717 Mission Road
City	Fort Hall
State	ID
ZIP	83203
Taxonomy	Clinic/Center
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

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
T1015	Clinic visit/encounter, all-inclusive	3,270	$530	$1.7M
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,…	580	$1	$580
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…	430	$1	$430
A4206	Syringe with needle, sterile, 1 cc or less, each	80	$1	$150
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	30	$0	$0
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	20	$0	$0
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…	40	$0	$0

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

Shoshone Bannock Tribes, Inc — 1 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	79	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…	584	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…	332	620	560	$60	$191.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	66	80	460	$30	$77.7K
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,…	39	210	90	$20	$10.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	136	160	110	$1	$2K
A4206	Syringe with needle, sterile, 1 cc or less, each	1	10	20	$10	$240

Related Providers

Other providers that share a Tax Identification Number (TIN) with Shoshone Bannock Tribes, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Lee	ID	Physical Therapist	$102.1K	$0
Amy Belnap	ID	Child & Adolescent Psychiatric/Mental Health Registered Nurse	$63.5K	$0
Titus Kener	ID	Family Nurse Practitioner	$52.8K	$0
Deric Ravsten	OR	Psychiatry Physician	$50.3K	$0
Douglas Williams	ID	Foot & Ankle Surgery Podiatrist	$46.4K	$0
Ryker Spackman	ID	Physical Therapist	$41.8K	$0
Jesse Tellez Hernandez	ID	Nurse Practitioner	$35.1K	$0
Adam Packer	ID	Family Nurse Practitioner	$15.4K	$0
Daniel Traughber	ID	Psychologist	$12.4K	$0
Michael Anderson	ID	Family Medicine Physician	$8.5K	$0

Nearby Providers

Other providers in the same ZIP code as Shoshone Bannock Tribes, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Not Tsoo Gah Nee Indian Health	ID	Health Service Clinic/Center	$0	$4.5M
Shoshone Bannock Tribes, Inc	ID	Clinic/Center	$0	$555.4K
James Vook	ID	Family Medicine Physician	$27.9K	$0
Shay Bullock	ID	Family Medicine Physician	$14.2K	$0

Shoshone Bannock Tribes, Inc — Billing Profile & Reimbursement Data

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Shoshone Bannock Tribes, Inc — 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