Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20197,366$247K
202020,404$726K
202120,371$748K
202211,717$475K
20235,280$239K
2024incomplete4,306$204K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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
Same official

Other billing entities under GONZALES, RACHEL

Full network →
ProviderLocationPaid
Madison Co Memorial HospitalRexburg, ID$1.56M
Madison Memorial HospitalRexburg, ID$1.17M
Madison Co Memorial HospitalRexburg, ID$722K
Madison Co Memorial HospitalRexburg, ID$4K
Madison Co Memorial HospitalRigby, ID$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.