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.

Community Partnerships Of Idaho, Inc. (NPI 1972724623)

Field	Value
Entity Type	Organization
Organization	Community Partnerships Of Idaho, Inc.
Address	9 Wall St
City	Nampa
State	ID
ZIP	83651
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-centric operation with $7.4M in lifetime Medicaid revenue. The absence of Medicare activity indicates the organization’s footprint and revenue dependence are concentrated in state Medicaid programs rather than dual-payer or Medicare markets.

Revenue is highly concentrated in a few service lines: H0004 ($1.8M, 24.6%), 97537 ($1.5M, 20.0%), and H2032 ($1.4M, 19.4%) together account for 64.0% of the provider’s total Medicaid revenue. That concentration means a relatively small set of per-15-minute, therapy-oriented codes drives the majority of billed Medicaid value for this entity.

The code mix (H0004 behavioral health counseling and therapy; 97537 community work reintegration training; H2032 activity therapy) aligns with the provider taxonomy of Developmental Disabilities Clinic/Center and suggests operations focused on high-volume, short-unit behavioral and habilitation services, including vocational/community integration and activity-based therapies. Delivering these services in 15-minute increments indicates a staffing and scheduling model optimized for frequent, brief supervised interventions.

Competitive standing by code is mixed: H0004 ranks #42 of 157 in-state (74th percentile), indicating a solid but not dominant position for behavioral health counseling; 97537 ranks #8 of 41 (83rd percentile), showing a stronger relative presence in community work reintegration; H2032 ranks #12 of 41 (73rd percentile), a typical statewide volume for activity therapy. Overall, the provider appears as a meaningful regional participant for several core Medicaid service lines but not a statewide market leader across all codes.

Claim volumes reinforce an intensive, high-throughput service model: 97537 has 67.5K claims, H2032 has 34.4K claims, and H0004 has 11.9K claims, reflecting heavy use of short-unit billing across vocational, activity, and behavioral services. These claim counts, combined with modest average paid/claim values (for example $22 for 97537 and $154 for H0004), point to operations that rely on scale and frequent encounters rather than high per-encounter revenue.

Beyond the top three, therapeutic behavioral services (H2019) is also a notable revenue contributor with $1.2M (16.3%) from 9K claims and a strong relative position in-state (rank #9 of 60, 86th percentile). Other mid-tier services such as H2015 ($485.2K, 6.5%) and S5100 ($457.5K, 6.1%) further diversify Medicaid revenues but remain secondary to the three primary codes.

The 64.0% revenue concentration in the top three codes creates both operational leverage and exposure: the provider can market specialized expertise in short-interval behavioral and activity therapies to payers and care managers, but it is also sensitive to policy or rate changes that affect those specific codes. This pattern suggests opportunities to negotiate targeted Medicaid agreements or to expand adjacent services to reduce dependence on a narrow code set.

The NPI has been enumerated since 2007-05-01 (~19 years ago), indicating long tenure and likely established relationships within Idaho’s Medicaid network. The enduring, consistent pattern of 'typical' volume rankings across many codes suggests a stable service mix and operational maturity rather than recent rapid expansion or contraction.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	11,890	$150	$1.8M
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	67,540	$20	$1.5M
H2032	Activity therapy, per 15 minutes	34,390	$40	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	9,040	$130	$1.2M
H2015	Comprehensive community support services, per 15 minutes	7,140	$70	$485.2K
S5100	Day care services, adult; per 15 minutes	18,300	$30	$457.4K
96152	N/A	6,380	$70	$433.6K
T1027	Family training and counseling for child development, per 15 minutes	1,700	$40	$69.6K
H0032	Mental health service plan development by non-physician	110	$110	$12.1K
T2024	Service assessment/plan of care development, waiver	70	$80	$5.6K

Showing 1–10 of 12

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

Community Partnerships Of Idaho, Inc. — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	42	160	4,020	$140	$1.6M
H2032	Activity therapy, per 15 minutes	12	40	19,190	$50	$1.6M
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	8	40	30,150	$20	$1.2M
H2019	Therapeutic behavioral services, per 15 minutes	9	60	2,960	$120	$609.8K
96152	N/A	19	70	2,270	$80	$608.8K
S5100	Day care services, adult; per 15 minutes	13	40	9,710	$30	$577.7K
H2015	Comprehensive community support services, per 15 minutes	13	50	2,960	$100	$570.3K
T1027	Family training and counseling for child development, per 15 minutes	17	40	1,050	$40	$66.8K
T2024	Service assessment/plan of care development, waiver	10	20	270	$120	$42.3K
H0032	Mental health service plan development by non-physician	59	110	150	$70	$37.3K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Community Partnerships Of Idaho, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1 - & - 1 - Aaa Home Care, Incorporated	ID	In Home Supportive Care Agency	$0	$12.1M
Advocates For Inclusion	ID	Developmentally Disabled Services Day Training Agency	$0	$5.8M
Centerpointe, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$2M
Centerpointe, Inc.	ID	Community/Behavioral Health Agency	$0	$2M
Idaho Therapy Source	ID	Occupational Therapist	$0	$1.9M
Idaho Dept Of Health & Welfare Itp Region 3	ID	Early Intervention Provider Agency	$0	$1.6M
Eyecare Associates Of Nampa PA	ID	Optometrist	$0	$1.3M
Waypoint Developmental Center LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Stellar Mental Health & Mediation, LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1M
Medical Directors Of Idaho PLLC	ID	Internal Medicine Physician	$0	$921.3K

Community Partnerships Of Idaho, Inc. — Billing Profile & Reimbursement Data

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Community Partnerships Of Idaho, Inc. — 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