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.

Steele Memorial Medical Center (NPI 1851403265)

Steele Memorial Medical Center is a critical access hospital provider located in Salmon, Idaho. This profile covers 0 Medicare and 59 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	Steele Memorial Medical Center
Address	203 S Daisy St
City	Salmon
State	ID
ZIP	83467
Taxonomy	Critical Access Hospital
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$715.7K
Medicare	$0

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	820	$240	$195.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1,230	$140	$169.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	320	$260	$83.3K
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…	780	$70	$52.7K
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…	1,070	$30	$33.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	230	$100	$22.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	330	$60	$20.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	210	$80	$17.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	2,050	$10	$16.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,240	$10	$13.4K

Showing 1–10 of 59

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

Steele Memorial Medical Center — 0 of 25 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

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	39	60	1,080	$110	$595.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	41	80	1,020	$90	$502.7K
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…	203	210	3,020	$50	$389K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	38	80	880	$70	$265.5K
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…	580	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…	273	620	560	$60	$191.8K
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…	129	230	1,390	$40	$134.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	31	50	560	$60	$82.3K
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.	71	80	460	$30	$77.7K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	110	140	710	$20	$76.4K

Showing 1–10 of 59

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steele Memorial Medical Center	ID	Rural Health Clinic/Center	$0	$3.6M
William Nibley	UT	Medical Oncology Physician	$166K	$326K
Gregory Litton	UT	Medical Oncology Physician	$208.7K	$225.7K
Todd Miller	CA	Otolaryngology Physician	$321.3K	$0
Bradley Hansen	MA	Ophthalmology Physician	$249.4K	$0
Richard Cannon	ID	Ophthalmology Physician	$247.2K	$0
John Greer	ID	Urology Physician	$210K	$0
Anthony Navone	MT	Cardiovascular Disease Physician	$171.5K	$0
Steven Smith	ID	Diagnostic Radiology Physician	$139K	$0
Richard Runyan	ID	Pain Medicine (Anesthesiology) Physician	$138.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Dynamics And Diagnostics, LLC	ID	Developmental Disabilities Clinic/Center	$0	$7.7M
Lemhi Valley Social Services, Inc.	ID	Community/Behavioral Health Agency	$0	$2.7M
Anna Greenwood	ID	Speech-Language Pathologist	$0	$342.2K
County Of Lemhi	ID	Land Ambulance	$155.2K	$87.1K
Dustin Jones	ID	Corneal and Contact Management Optometrist	$124.2K	$0
Kathryn Blackadar Oldham	ID	Physical Therapist	$98.1K	$0
Myllissa Wyatt	ID	Family Nurse Practitioner	$61.6K	$0
John Pena	ID	Family Nurse Practitioner	$49.6K	$0
Bradley Marx	ID	Chiropractor	$42.5K	$0
Brian Barry	ID	Chiropractor	$40.2K	$0

Steele Memorial Medical Center — Billing Profile & Reimbursement Data

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Steele Memorial Medical Center — 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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