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.

Health West, Inc. (NPI 1942772223)

Field	Value
Entity Type	Organization
Organization	Health West, Inc.
Address	500 S 11th Ave Ste 204
City	Pocatello
State	ID
ZIP	83201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 26, 2018

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	10,150	$240	$2.4M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,280	$1	$1.3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	520	$1	$520
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	140	$1	$410
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	120	$1	$230
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	50	$1	$140
90473	In this procedure, the provider administers a live attenuated vaccine through intranasal or oral route.	140	$1	$140
1036F	N/A	190	$0	$0
1160F	No Summary found for this code	1,680	$0	$0
3008F	No Summary found for this code	490	$0	$0

Showing 1–10 of 47

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

Health West, Inc. — 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	52	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…	182	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…	152	620	560	$60	$191.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	181	410	740	$60	$174.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	56	80	450	$80	$171.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	51	80	380	$70	$151.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	51	80	130	$80	$91.4K
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.	72	80	460	$30	$77.7K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	53	60	290	$30	$48.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	28	70	240	$20	$34.3K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.2M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$5.9M
Bear Lake Community Health Center, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$3.8M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.1M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.2M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.1M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$509.9K
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$455.8K

Nearby Providers

Other providers in the same ZIP code as Health West, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moonlight Mountain Recovery, Inc	ID	Substance Abuse Rehabilitation Facility	$0	$17.7M
Pocatello Children & Adolescent Clinic	ID	Pediatrics Physician	$0	$11M
Speech Therapy Services, LLC	ID	Speech-Language Pathologist	$0	$8.5M
Pocatello Chubbuck School District #25	ID	Local Education Agency (LEA)	$0	$7.9M
Facial & Oral Surgery Associates, Inc.	ID	Oral and Maxillofacial Surgery (Dentist)	$0	$6.3M
Pocatello Hospital LLC	ID	General Acute Care Hospital	$0	$6.1M
Rocky Mountain Physician Group LLC	ID	Emergency Medicine Physician	$0	$5.5M
Community Mental Health	ID	Community/Behavioral Health Agency	$0	$4.3M
Medical Imaging Associates Of Idaho Falls, Inc	ID	Diagnostic Radiology Physician	$0	$4.2M
Life, A Center For Independent Living	ID	In Home Supportive Care Agency	$0	$4M

Health West, Inc. — Billing Profile & Reimbursement Data

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Health West, 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