Agency
State of Idaho
State of Idaho was paid $385K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 31% of everything it billed.
33Billing provider infoSTATE OF IDAHO
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1063576445assigned 12/20/2006
33bProvider typePublic Health or Welfare Agency
28Total paid$385K
24GClaims22,444
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Idaho
Rank by total paid#4 of 8
Median peer was paid$100K
This provider vs. median3.9×
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 | 5,068 | $52K | |
| 2019 | 4,362 | $47K | |
| 2020 | 3,128 | $41K | |
| 2021 | 3,218 | $34K | |
| 2022 | 3,254 | $86K | |
| 2023 | 1,551 | $68K | |
| 2024incomplete | 1,863 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 31% | 480 | 271 | $119K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 22% | 4,921 | 4,741 | $85K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 11% | 2,215 | 2,120 | $41K |
| D0191 | 9.5% | 3,408 | 3,406 | $37K | |
| D1351 | Sealant - per tooth | 7.2% | 1,890 | 426 | $28K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.6% | 1,175 | 1,134 | $21K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 3.9% | 584 | 567 | $15K |
| 91320 | 2.3% | 105 | 105 | $9K | |
| 90686 | 1.6% | 1,334 | 1,333 | $6K | |
| 90480 | 1.2% | 147 | 147 | $5K | |
| 90651 | 1.2% | 489 | 474 | $4K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 116 | 99 | $3K |
19 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 160 | $3K |
| 81025 | <1% | 289 | $2K | |
| 90715 | <1% | 525 | $2K | |
| 90734 | <1% | 507 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| 90620 | <1% | 78 | $1K | |
| D1120 | Dental cleaning, child | <1% | 14 | $768.79 |
| 90656 | <1% | 96 | $607.27 | |
| S4993 | Contraceptive pills for birth control | <1% | 25 | $330.50 |
| D1206 | Topical application of fluoride varnish | <1% | 3,269 | $76.03 |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $32.40 |
| 90633 | <1% | 106 | $7.84 | |
| 90710 | 0% | 92 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 90670 | 0% | 149 | $0.00 | |
| 90723 | 0% | 24 | $0.00 | |
| 90619 | 0% | 99 | $0.00 | |
| 90696 | 0% | 75 | $0.00 | |
| 90647 | 0% | 15 | $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 officialMARUGG, EDWARD (DIRECTOR)