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.

Syringa Family Partnership, LLC (NPI 1962658500)

Field	Value
Entity Type	Organization
Organization	Syringa Family Partnership, LLC
Address	3650 N Government Way
City	Coeur D Alene
State	ID
ZIP	83815
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	August 14, 2008

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $10.4M, concentrating the organization’s financial exposure to state Medicaid reimbursement policy and utilization trends. The absence of Medicare activity suggests the entity operates primarily within pediatric/behavioral health or state‑funded early intervention channels rather than traditional Medicare markets.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 codes by revenue account for 91.1% of this provider's total Medicaid revenue. In particular, H0004 drives the majority of receipts with $7.3M (70.2% of Medicaid revenue), followed by H2019 with $1.5M (14.6%) and 96152 with $647.8K (6.2%).

The service mix—dominated by H0004 (Behavioral health counseling and therapy, per 15 minutes) and H2019 (Therapeutic behavioral services, per 15 minutes) with meaningful secondary volume in 96152—aligns with the Taxonomy listing as an Early Intervention Provider Agency and indicates a session‑based, per‑15‑minute care model focused on behavioral health and therapeutic support. Supplementary codes such as H2015 (comprehensive community support services) and T1027 (family training and counseling) reinforce an emphasis on community‑based, family‑oriented early intervention services rather than episodic medical procedures.

Operational volume is substantial in sessionized services: H0004 shows 35.7K claims and H2019 shows 10K claims, while 96152 has 3.2K claims. Those claim counts, combined with the per‑claim average payments ($205 for H0004, $153 for H2019, $203 for 96152), point to a high‑frequency, low‑unit‑value billing pattern typical of time‑based behavioral interventions.

Competitive standing is mixed across codes: for H0004 the provider ranks #13 of 157 in‑state (92th percentile; typical, unremarkable volume for this code), indicating a relatively strong statewide position for its primary revenue driver but not a singularly dominant market share. H2019 ranks #8 of 60 (88th percentile; typical, unremarkable volume for this code), while 96152 ranks #28 of 73 (63th percentile; typical, unremarkable volume for this code), suggesting the provider is a prominent participant for its top two codes but more middle‑tier for other modalities.

Several secondary codes appear but contribute small shares of revenue relative to the top three: H2015 accounts for $637.1K (6.1%), and a set of additional codes (T1027 $62.8K, H0024 $54.1K, 99368 $48.4K, T2024 $40.7K, H0032 $40.5K) individually represent modest percentages. Given that the top 3 codes account for 91.1% of Medicaid revenue, these other services provide limited diversification of revenue streams.

There are a few niche or unique reporting signals: H0024 (behavioral health prevention information dissemination) is reported with $54.1K and is listed as rank #1 of 1 providers in‑state (0th percentile; no state peer volume comparison available), indicating this provider may be the sole biller for that code in the state dataset but that the associated revenue impact is small. Such one‑off or unique code use can reflect specialized program components rather than core revenue drivers.

The provider’s NPI has a long tenure: enumerated 2008-08-14 (~18 years ago), which suggests an established presence in the state Medicaid ecosystem and likely ongoing contractual or operational relationships with payers and referral sources. Long enumeration combined with concentrated Medicaid volume signals stability in its current service mix, but also exposure to changes in Medicaid coverage or rate policies for time‑based behavioral services.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	35,710	$210	$7.3M
H2019	Therapeutic behavioral services, per 15 minutes	9,960	$150	$1.5M
96152	N/A	3,190	$200	$647.8K
H2015	Comprehensive community support services, per 15 minutes	7,080	$90	$637.1K
T1027	Family training and counseling for child development, per 15 minutes	1,080	$60	$62.8K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	2,350	$20	$54.1K
99368	A nonphysician qualified health care professional joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	1,380	$40	$48.4K
T2024	Service assessment/plan of care development, waiver	470	$90	$40.7K
H0032	Mental health service plan development by non-physician	90	$470	$40.5K
96150	N/A	110	$210	$23.8K

Showing 1–10 of 11

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

Syringa Family Partnership, LLC — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	13	160	4,020	$140	$1.6M
H2014	Skills training and development, per 15 minutes	47	60	2,500	$60	$613.3K
H2019	Therapeutic behavioral services, per 15 minutes	8	60	2,960	$120	$609.8K
96152	N/A	28	70	2,270	$80	$608.8K
H2015	Comprehensive community support services, per 15 minutes	14	50	2,960	$100	$570.3K
T1027	Family training and counseling for child development, per 15 minutes	21	40	1,050	$40	$66.8K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	1	10	2,350	$20	$53.9K
T2024	Service assessment/plan of care development, waiver	4	20	270	$120	$42.3K
H0032	Mental health service plan development by non-physician	62	110	150	$70	$37.3K
99368	A nonphysician qualified health care professional joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	2	10	130	$30	$25.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Syringa Family Partnership, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Star Child Development Center	ID	Clinic/Center	$0	$9.4M
David Bartels	ID	Hematology & Oncology Physician	$3.5M	$0
Tesh, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$3.5M
Jump Start Pediatric Therapy, LLC	ID	Physical Therapy Clinic/Center	$0	$3.3M
Synergy Healthcare For Kids Inc.	ID	Rehabilitation Clinic/Center	$0	$1.8M
George J Loftus Iii, Dds, LLC	ID	General Practice Dentistry	$0	$1.8M
A Compassionate In-home Care LLC	ID	In Home Supportive Care Agency	$0	$1.6M
Howard Kenney	ID	Rheumatology Physician	$1.2M	$0
Rathdrum Clinic, Inc.	ID	Addiction Medicine (Family Medicine) Physician	$0	$1.1M
Dustin Dinning	ID	Rheumatology Physician	$1.1M	$0

Syringa Family Partnership, LLC — Billing Profile & Reimbursement Data

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Syringa Family Partnership, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References