Physician
Madison Co Memorial Hospital
Madison Co Memorial Hospital was paid $2.64M by Medicaid between Sep 2019 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoMADISON CO MEMORIAL HOSPITAL
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1073154266assigned 09/30/2019
33bProvider typePediatrics Physician
28Total paid$2.64M
24GClaims69,444
24DCodes billed49
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Idaho
Rank by total paid#8 of 22
Median peer was paid$564K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2019 | 7,366 | $247K | |
| 2020 | 20,404 | $726K | |
| 2021 | 20,371 | $748K | |
| 2022 | 11,717 | $475K | |
| 2023 | 5,280 | $239K | |
| 2024incomplete | 4,306 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 15,252 | 14,527 | $903K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 5,688 | 5,458 | $456K |
| 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 | 15% | 5,295 | 4,887 | $400K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 3,816 | 3,813 | $346K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.5% | 8,066 | 8,040 | $146K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.7% | 5,375 | 5,326 | $125K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 1,159 | 1,158 | $100K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.4% | 394 | 393 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 264 | 264 | $26K |
| 90474 | <1% | 1,270 | 1,264 | $15K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,435 | 1,427 | $12K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 127 | 117 | $11K |
37 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 3,442 | $8K |
| 99460 | <1% | 87 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 85 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 130 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 52 | $5K |
| 36416 | <1% | 1,791 | $5K | |
| 90473 | <1% | 242 | $5K | |
| 99381 | <1% | 48 | $5K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 61 | $2K |
| 83655 | <1% | 178 | $2K | |
| 76801 | <1% | 26 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 101 | $2K |
| 82247 | <1% | 309 | $2K | |
| 86756 | <1% | 109 | $2K | |
| 99307 | <1% | 120 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $946.85 |
| 0011A | <1% | 19 | $720.00 | |
| 90670 | <1% | 3,355 | $542.00 | |
| 90756 | <1% | 29 | $497.04 | |
| 0012A | <1% | 12 | $440.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 27 | $400.12 |
| 90686 | <1% | 2,386 | $223.50 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 22 | $149.60 |
| 54150 | <1% | 62 | $133.93 | |
| 90672 | <1% | 129 | $97.81 | |
| 90633 | <1% | 967 | $33.91 | |
| 90647 | <1% | 2,230 | $16.83 | |
| 90723 | <1% | 2,327 | $16.53 | |
| 90700 | <1% | 457 | $3.14 | |
| 90707 | <1% | 145 | $1.27 | |
| 90716 | <1% | 131 | $1.15 | |
| 90656 | <1% | 29 | $0.05 | |
| 90710 | <1% | 16 | $0.01 | |
| 90681 | 0% | 1,481 | $0.00 | |
| 90736 | 0% | 85 | $0.00 | |
| 90697 | 0% | 441 | $0.00 | |
| 90677 | 0% | 158 | $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 officialGONZALES, RACHEL (CHIEF EXECUTIVE OFFICER)
Parent organizationMADISON CO MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Madison Co Memorial Hospital | Rexburg, ID | $1.56M |
| Madison Memorial Hospital | Rexburg, ID | $1.17M |
| Madison Co Memorial Hospital | Rexburg, ID | $722K |
| Madison Co Memorial Hospital | Rexburg, ID | $4K |
| Madison Co Memorial Hospital | Rigby, ID | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.