Hospital
Shoshone Medical Center
Shoshone Medical Center was paid $838K by Medicaid between Jan 2018 and Aug 2024, across 65 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 18% of everything it billed.
33Billing provider infoSHOSHONE MEDICAL CENTER
KELLOGG, ID 83837
KELLOGG, ID 83837
33aNPI1043215437assigned 06/14/2005
33bProvider typeCritical Access Hospital
28Total paid$838K
24GClaims45,439
24DCodes billed65
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Critical Access Hospital providers in Idaho
Rank by total paid#6 of 20
Median peer was paid$348K
This provider vs. median2.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,256 | $206K | |
| 2019 | 14,760 | $211K | |
| 2020 | 9,935 | $241K | |
| 2021 | 2,604 | $63K | |
| 2022 | 2,607 | $60K | |
| 2023 | 1,576 | $41K | |
| 2024incomplete | 701 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 18% | 3,757 | 3,289 | $148K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 2,393 | 1,816 | $147K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 8.8% | 1,136 | 759 | $73K |
| 96361 | Intravenous infusion, hydration; each additional hour | 8.5% | 239 | 200 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 3,554 | 2,245 | $70K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.9% | 2,585 | 677 | $66K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.6% | 1,601 | 1,049 | $47K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 4.5% | 941 | 817 | $37K |
| 80053 | Comprehensive metabolic panel | 3.1% | 3,964 | 3,174 | $26K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 2.7% | 1,629 | 436 | $23K |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 6,916 | 4,716 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 3,035 | 2,478 | $12K |
53 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 869 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 937 | $7K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 102 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 634 | $6K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 154 | $5K |
| 85027 | <1% | 1,173 | $5K | |
| 84484 | <1% | 629 | $4K | |
| 97161 | <1% | 69 | $4K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 100 | $4K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 117 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 347 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 148 | $4K |
| 80305 | <1% | 421 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 61 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 752 | $3K |
| 81003 | <1% | 881 | $3K | |
| 83605 | <1% | 455 | $3K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 41 | $3K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 63 | $2K |
| 80061 | Lipid panel | <1% | 509 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 367 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 386 | $2K |
| 83690 | <1% | 357 | $2K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $2K |
| 85610 | <1% | 619 | $2K | |
| 81015 | <1% | 349 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 369 | $1K |
| 87254 | <1% | 42 | $930.96 | |
| 81001 | <1% | 485 | $916.29 | |
| 71045 | Radiologic examination, chest; single view | <1% | 166 | $858.08 |
| 85007 | <1% | 213 | $815.56 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 56 | $811.73 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 329 | $598.69 |
| 73610 | <1% | 18 | $598.33 | |
| A9270 | Non-covered item or service | <1% | 610 | $589.92 |
| 87420 | <1% | 61 | $537.37 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 109 | $528.65 |
| 87040 | <1% | 75 | $499.72 | |
| 82803 | <1% | 35 | $357.39 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 262 | $261.83 |
| 83735 | <1% | 40 | $186.70 | |
| 83880 | <1% | 16 | $182.45 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 27 | $177.13 |
| 90674 | <1% | 13 | $154.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 36 | $141.07 |
| 82150 | <1% | 14 | $79.47 | |
| 84439 | <1% | 15 | $73.38 | |
| 87184 | <1% | 12 | $58.64 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 14 | $33.62 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 63 | $3.10 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 21 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 22 | $0.00 |
| 80320 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialERDMAN, DONJA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Shoshone Medical Center | Kellogg, ID | $672K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.