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.

Treasure Valley Family Medicine, PLLC (NPI 1841603768)

Treasure Valley Family Medicine, PLLC is a family medicine physician provider located in Meridian, Idaho. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Treasure Valley Family Medicine, PLLC
Address	2428 N Stokesberry Pl
City	Meridian
State	ID
ZIP	83646
Taxonomy	Family Medicine Physician
NPI Enumerated	June 9, 2014

Payer Source	Total Paid
Medicaid	$687.6K
Medicare	$0

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

31 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…	7,330	$80	$556.7K
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…	760	$60	$41.7K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	4,000	$10	$28K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	80	$130	$10.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,310	$1	$9.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$110	$8.1K
99203	The provider sees a new 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 provider…	60	$100	$5.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	60	$90	$5.5K
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.	140	$40	$4.8K
99204	The provider sees a new 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 provider…	40	$110	$4.3K

Showing 1–10 of 31

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

Treasure Valley Family Medicine, PLLC — 1 of 17 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

31 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…	330	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…	53	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.	51	80	460	$30	$77.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	80	140	100	$90	$54.4K
99203	The provider sees a new 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 provider…	132	220	90	$80	$51.4K
99204	The provider sees a new 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 provider…	114	180	70	$110	$45.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	77	180	140	$10	$28.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	46	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…	47	130	110	$10	$6.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	8	30	30	$50	$4.2K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Crownover	ID	Family Medicine Physician	$42.7K	$0
Russell Singleton	ID	Physician Assistant	$33.5K	$0
Kerry Anson	AK	Medical Physician Assistant	$26.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A New Leaf, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$29.5M
Southern Idaho Surgery Center PLLC	ID	Ambulatory Surgical Clinic/Center	$0	$5.3M
A Helping Hand In Home Care	ID	In Home Supportive Care Agency	$0	$3.6M
Dental Care For Kids	ID	Pediatric Dentistry	$0	$3.1M
Watchdog LLC	ID	Emergency Response System Companies	$0	$2.4M
Idaho Transition Care, LLC	ID	Case Management Agency	$0	$2.1M
Small Talk Speech & Language Services	ID	Speech-Language Pathologist	$0	$1.8M
D&g Medical Associates PLLC	ID	Family Medicine Physician	$0	$1.3M
Capitol Healthcare, Inc.	ID	In Home Supportive Care Agency	$0	$1.3M
Mountain Pine Dermatology, PLLC	ID	Dermatology Physician	$0	$1.2M

Treasure Valley Family Medicine, PLLC — Billing Profile & Reimbursement Data

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Treasure Valley Family Medicine, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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