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.

Bmh Inc (NPI 1982805271)

Bmh Inc is a critical access hospital provider located in Blackfoot, Idaho. This profile covers 0 Medicare and 213 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	Bmh Inc
Address	98 Poplar St
City	Blackfoot
State	ID
ZIP	83221
Taxonomy	Critical Access Hospital
NPI Enumerated	May 31, 2007

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

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

213 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	7,440	$60	$446.5K
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…	3,010	$60	$177.5K
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…	4,830	$40	$168.9K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	400	$330	$129.2K
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.	1,790	$70	$128.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	1,560	$70	$112.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,270	$50	$108.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	290	$350	$101K
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.	2,620	$40	$96.9K
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.	13,010	$10	$91.1K

Showing 1–10 of 213

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

Bmh Inc — 3 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

213 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3	10	590	$210	$598.8K
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.	23	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.	31	80	1,020	$90	$502.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	56	280	1,480	$70	$389.4K
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…	106	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.	44	80	880	$70	$265.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	23	40	530	$70	$237.8K
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…	284	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…	77	620	560	$60	$191.8K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	12	30	1,450	$50	$160K

Showing 1–10 of 213

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bmh Inc.	ID	Rural Health Clinic/Center	$0	$5.8M
Ananda Walaliyadda	ID	Specialist	$3.9M	$0
Bmh Inc	ID	Rural Health Clinic/Center	$0	$2.6M
Bmh, Inc.	ID	Surgery Physician	$0	$2.3M
Bmh, Inc.	ID	Family Medicine Physician	$0	$864.1K
Bmh, Inc.	ID	Sports Medicine (Family Medicine) Physician	$0	$765.1K
Bmh Inc	ID	Family Medicine Physician	$0	$546.8K
William Nibley	UT	Medical Oncology Physician	$166K	$326K
Bmh, Inc	ID	Family Medicine Physician	$0	$459.3K
Gregory Litton	UT	Medical Oncology Physician	$208.7K	$225.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mvh Bmc LLC	ID	Rural Health Clinic/Center	$0	$11.6M
Camp Hippo Pediatric Therapy LLC	ID	Occupational Therapist	$0	$5.5M
J&m Mental Health, Inc.	ID	Social Worker	$0	$4.5M
Southeastern Idaho Developmental Center, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$1.8M
Titan Willow Operator LLC	ID	Assisted Living Facility	$0	$1.5M
City Of Blackfoot	ID	Land Ambulance	$234.1K	$785.5K
Gables Holdings LLC	ID	Assisted Living Facility	$0	$1M
Blackfoot School Dist #55	ID	Local Education Agency (LEA)	$0	$997.5K
Stillwaters Counseling LLC	ID	Mental Health Counselor	$0	$814.8K
Lincare Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$698.1K

Bmh Inc — Billing Profile & Reimbursement Data

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Bmh 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

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