Physician
Madison Co Memorial Hospital
Madison Co Memorial Hospital was paid $1.56M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoMADISON CO MEMORIAL HOSPITAL
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1134592017assigned 11/02/2015
33bProvider typeFamily Medicine Physician
28Total paid$1.56M
24GClaims32,774
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#17 of 136
Median peer was paid$139K
This provider vs. median11×
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 | 5,888 | $242K | |
| 2019 | 5,300 | $220K | |
| 2020 | 5,545 | $223K | |
| 2021 | 4,482 | $223K | |
| 2022 | 5,084 | $263K | |
| 2023 | 3,936 | $231K | |
| 2024incomplete | 2,539 | $160K |
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 | 64% | 17,184 | 15,987 | $1.01M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 2,275 | 1,936 | $200K |
| 90461 | 5.7% | 2,061 | 1,532 | $89K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 872 | 864 | $88K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 2,330 | 2,310 | $64K |
| 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 | 3.9% | 679 | 631 | $61K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 177 | 173 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 81 | 81 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,345 | 2,163 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 437 | 307 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | 31 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 80 | 75 | $3K |
24 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 159 | $3K |
| 90686 | <1% | 940 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 99460 | <1% | 12 | $956.56 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 30 | $956.23 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 148 | $841.51 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $761.04 |
| 85027 | <1% | 91 | $520.50 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $507.98 |
| 90474 | <1% | 44 | $463.76 | |
| 90682 | <1% | 15 | $388.91 | |
| 90677 | <1% | 39 | $255.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $192.80 |
| 87430 | <1% | 12 | $151.30 | |
| 80053 | Comprehensive metabolic panel | <1% | 13 | $95.71 |
| 90680 | <1% | 515 | $22.06 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $19.79 |
| 90670 | <1% | 1,041 | $15.64 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $8.47 |
| 90723 | <1% | 471 | $4.61 | |
| 90647 | <1% | 442 | $4.36 | |
| 90633 | <1% | 45 | $0.43 | |
| 90697 | <1% | 112 | $0.28 |
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 | $2.64M |
| 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.