Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

MVH PC Specialists LLC

MVH PC Specialists LLC was paid $168K by Medicaid between Jan 2018 and Mar 2021, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoMVH PC SPECIALISTS LLC
POCATELLO, ID 83201
33aNPI1114451804assigned 04/19/2017
28Total paid$168K
24GClaims6,136
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Family Medicine Physician providers in Idaho

Rank by total paid#66 of 136
Median peer was paid$139K
This provider vs. median1.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HILLYARD, NED controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,732$57K
20191,887$47K
20201,205$50K
2021312$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 50% 1,743 1,359 $84K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 1,757 1,540 $76K
99490 Ccm add 20min 3.3% 2,212 1,528 $6K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 71 37 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 15 15 $649.80
36415 Collection of venous blood by venipuncture <1% 338 263 $645.64

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 officialHILLYARD, NED (CCO)
Same official

Other billing entities under HILLYARD, NED

Full network →
ProviderLocationPaid
MVH BMC LLCBlackfoot, ID$11.61M
MVH Pic LLCPocatello, ID$3.03M
Mountain View Hospital LLCPocatello, ID$1.72M
MVH BMC LLCShelley, ID$1.08M
Idaho Falls Community Hospital LLCIdaho Falls, ID$540K
Idaho Falls AscIdaho Falls, ID$386K
Prescription Center Home Care, LLCIdaho Falls, ID$244K
MVH Parkway LLCBlackfoot, ID$126K
MV Pocatello Ent, LLCPocatello, ID$118K
Snake River Hospitalists, LLCIdaho Falls, ID$55K
MVH PMHS LLCPocatello, ID$52K

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