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.

Gerald L Knouf Md PA (NPI 1831326289)

Field	Value
Entity Type	Organization
Organization	Gerald L Knouf Md PA
Address	190 W Burnside Ave
City	Chubbuck
State	ID
ZIP	83202
Taxonomy	Health Service Clinic/Center
NPI Enumerated	June 12, 2009

Payer Source	Total Paid
Medicaid	$417.1K
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
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…	3,840	$60	$230.6K
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…	3,990	$40	$167.7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	2,210	$10	$17.7K
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,…	10	$40	$440
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	60	$10	$410
36410	In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.	20	$10	$170
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$1	$50

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

Gerald L Knouf Md PA — 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
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…	136	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…	92	620	560	$60	$191.8K
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,…	201	210	90	$20	$10.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	192	210	510	$1	$7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	75	130	110	$10	$6.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	9	70	340	$10	$6.4K
36410	In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.	2	10	80	$40	$3.3K

Nearby Providers

Other providers in the same ZIP code as Gerald L Knouf Md PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcdonald Rehab, PC	ID	Physical Therapist	$0	$4.7M
Access Point Family Services Inc.	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.9M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Emeritus Corporation	ID	Assisted Living Facility	$0	$2.2M
Hannah's Place LLC	ID	Pediatric Physical Therapist	$0	$1.7M
Center Counseling, LLC	ID	Mental Health Counselor	$0	$1.7M
Staralee Baird	ID	Social Worker	$35.5K	$1.4M
Pocatello Med Partners LLC	ID	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Norco, Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$866.6K
T Help	ID	Community/Behavioral Health Agency	$0	$725.4K

Gerald L Knouf Md PA — Billing Profile & Reimbursement Data

Sign up for Gerald L Knouf Md PA — Billing Profile & Reimbursement Data policy alerts

Gerald L Knouf Md PA — Billing Profile & Reimbursement Data

Sign up for Gerald L Knouf Md PA — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References