Clinic
Franklin County Medical Center
Franklin County Medical Center was paid $4.18M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoFRANKLIN COUNTY MEDICAL CENTER
PRESTON, ID 83263
PRESTON, ID 83263
33aNPI1144663543assigned 04/16/2013
33bProvider typeRural Health Clinic/Center
28Total paid$4.18M
24GClaims47,404
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Idaho
Rank by total paid#3 of 21
Median peer was paid$856K
This provider vs. median4.9×
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 | 5,306 | $457K | |
| 2019 | 5,273 | $460K | |
| 2020 | 6,107 | $558K | |
| 2021 | 8,543 | $709K | |
| 2022 | 9,282 | $775K | |
| 2023 | 6,910 | $623K | |
| 2024incomplete | 5,983 | $603K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 26,062 | 23,222 | $4.16M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14,923 | 13,773 | $23K |
| 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 | <1% | 2,671 | 2,559 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 370 | 359 | $334.39 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 617 | 601 | $272.59 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 102 | 95 | $74.39 |
| 90686 | <1% | 74 | 74 | $47.53 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 72 | 72 | $46.18 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 247 | 245 | $17.95 |
| 90461 | 0% | 340 | 339 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 651 | 630 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 507 | 504 | $0.00 |
14 more codes
| 81003 | 0% | 82 | $0.00 | |
| 1159F | 0% | 55 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 45 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 27 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 223 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 49 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 33 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 48 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 54 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 14 | $0.00 |
| 3074F | 0% | 26 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 88 | $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 officialSMART, PAUL (C.F.O.)
Parent organizationFRANKLIN COUNTY MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Franklin County Medical Center | Preston, ID | $4.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.