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.

Coeur D'alene School District #271 (NPI 1831227263)

Field	Value
Entity Type	Organization
Organization	Coeur D'alene School District #271
Address	311 N 10th St
City	Coeur D Alene
State	ID
ZIP	83814
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all recorded activity is Medicaid‑based with total Medicaid revenue of $9.8M. That concentration means any analysis of scale, service mix, or growth should treat Medicaid as the primary and near‑exclusive payer for this entity.

Revenue is highly concentrated in a small set of codes: the precomputed top three Medicaid codes together account for 77.7% of this provider’s Medicaid revenue, driven by H0004 (42.7% of Medicaid revenue, $4.2M), 96152 (29.9% of Medicaid revenue, $2.9M), and H0005 (5.1% of Medicaid revenue, $498.4K). This concentration implies program risk if reimbursement or utilization patterns for those specific codes change.

The top code, H0004 (Behavioral health counseling and therapy, per 15 minutes), is high‑volume with 36.9K claims and $4.2M in revenue and ranks #11 of 157 providers in‑state (94th percentile). Its dominant share (42.7% of Medicaid revenue) indicates the organization operates substantial behavioral health counseling capacity, likely delivered in routine, recurring 15‑minute therapy units consistent with school‑based services.

Code 96152 shows extreme concentration and a highly atypical footprint: 96152 accounts for $2.9M from 64.9K claims and ranks #2 of 73 providers in‑state (99th percentile; extreme outlier). Although the dataset lists no description for 96152, its scale relative to peers makes the provider one of the state’s largest billers for whatever service that code represents, and this single code materially shapes the provider’s competitive standing.

H0005 (group alcohol and/or drug counseling by a clinician) and H2014 (skills training and development) together contribute meaningful secondary revenue streams ($498.4K and $496.2K respectively, each ~5.1% of Medicaid revenue) and rank in solid but not dominant statewide positions (H0005 #10 of 81, 89th percentile; H2014 #14 of 56, 76th percentile). These codes suggest additional school‑based substance use and skills training programming that complements individual counseling services.

The provider also bills substantial volume for allied rehabilitative and developmental services typical of an LEA: speech and language codes 92507 (20.4K claims, $326.4K; 91st percentile) and 92508 (31.8K claims, $159.2K; 94th percentile) and therapy codes like 97110 and 97530 appear in the top code list. That mix supports an operational profile centered on providing speech, language, and therapeutic interventions to students, in addition to behavioral health.

Competitive positioning is mixed by code: the provider is a statewide leader or extreme outlier on 96152 (rank #2, 99th percentile), shows strong but less dominant volume for H0004 (rank #11, 94th percentile), and is a routine but active participant on several therapy and testing codes (most rankings fall in mid‑to‑high percentiles). For payers and network planners, this means the provider can be an important behavioral health and school‑based therapy partner for specific services but is not uniformly dominant across all service lines.

The NPI tenure indicates long‑standing presence: the NPI was enumerated on 2007‑02‑28 (~19 years ago). Coupled with high claim counts across behavioral health and therapy codes, this tenure supports interpretation of observed patterns as established operational behavior rather than a short‑term spike in activity.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	36,860	$110	$4.2M
96152	N/A	64,870	$50	$2.9M
H0005	Alcohol and/or drug services; group counseling by a clinician	12,160	$40	$498.4K
H2014	Skills training and development, per 15 minutes	8,710	$60	$496.2K
99412	The provider offers advice on maintaining and improving health to a group of patients for roughly an hour.	11,210	$40	$426K
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…	20,400	$20	$326.4K
96153	N/A	16,110	$20	$306K
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…	6,180	$30	$185.4K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	31,830	$10	$159.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,820	$30	$84.7K

Showing 1–10 of 20

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

Coeur D'alene School District #271 — 1 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	68	100	11,400	$80	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	11	160	4,020	$140	$1.6M
H2014	Skills training and development, per 15 minutes	14	60	2,500	$60	$613.3K
96152	N/A	2	70	2,270	$80	$608.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	107	280	1,480	$70	$389.4K
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…	20	210	3,020	$50	$389K
H0005	Alcohol and/or drug services; group counseling by a clinician	10	80	2,240	$50	$257.3K
99412	The provider offers advice on maintaining and improving health to a group of patients for roughly an hour.	3	10	3,060	$30	$172.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	85	230	1,390	$40	$134.8K
96153	N/A	2	10	5,990	$20	$122.1K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Coeur D'alene School District #271, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Washington, Inc	ID	In Home Supportive Care Agency	$0	$31.9M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$13.6M
Coeur D'alene Pediatrics PA	ID	Pediatrics Physician	$0	$11.6M
Ambitions Of Idaho, Inc	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$7.1M
Kootenai Health, Inc.	ID	General Acute Care Hospital	$0	$7M
Family Support Services Of North Idaho	ID	Mental Health Counselor	$0	$6.9M
Dirne Health Centers, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$6.7M
Kootenai Health, Inc.	ID	Psychiatry Physician	$0	$6.7M
Collaborative Behavior Solutions, LLC	ID	Community/Behavioral Health Agency	$0	$5.9M

Coeur D'alene School District #271 — Billing Profile & Reimbursement Data

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Coeur D'alene School District #271 — Billing Profile & Reimbursement Data

Sign up for Coeur D'alene School District #271 — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References