Health West, INC.
Health West, INC. was paid $6.17M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
POCATELLO, ID 83201
Next to other Multi-Specialty Clinic/Center providers in Idaho
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,143 | $392K | |
| 2019 | 6,523 | $368K | |
| 2020 | 10,685 | $891K | |
| 2021 | 12,075 | $926K | |
| 2022 | 23,430 | $1.55M | |
| 2023 | 13,824 | $1.10M | |
| 2024incomplete | 12,933 | $933K |
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 | 94% | 29,434 | 24,668 | $5.81M |
| 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 | 1.9% | 10,861 | 10,073 | $115K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.8% | 2,580 | 2,079 | $112K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 1.2% | 587 | 535 | $77K |
| 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% | 14,752 | 12,727 | $39K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,200 | 5,921 | $5K |
| 0031A | <1% | 36 | 36 | $1K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 783 | 315 | $1K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 13 | 13 | $786.24 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 218 | 218 | $763.89 |
| 0012A | <1% | 15 | 15 | $449.07 | |
| 90686 | <1% | 166 | 165 | $433.45 |
29 more codes
| 90674 | <1% | 123 | $410.55 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $106.86 |
| 1036F | <1% | 5,353 | $73.71 | |
| 90656 | <1% | 14 | $71.16 | |
| 80305 | <1% | 396 | $69.21 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 83 | $48.26 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $47.67 |
| 1160F | <1% | 7,000 | $9.47 | |
| 96127 | <1% | 1,753 | $7.42 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 41 | $7.07 |
| 4004F | 0% | 1,280 | $0.00 | |
| 3078F | 0% | 617 | $0.00 | |
| 3725F | 0% | 2,263 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 36 | $0.00 |
| 2028F | 0% | 51 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 98 | $0.00 |
| 3077F | 0% | 44 | $0.00 | |
| 3008F | 0% | 807 | $0.00 | |
| 3075F | 0% | 99 | $0.00 | |
| 3074F | 0% | 879 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 2,103 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15 | $0.00 |
| 1034F | 0% | 144 | $0.00 | |
| 3079F | 0% | 477 | $0.00 | |
| 3351F | 0% | 89 | $0.00 | |
| 91303 | 0% | 33 | $0.00 | |
| 3080F | 0% | 17 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 31 | $0.00 |
| 91301 | 0% | 20 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Health West, INC. | Pocatello, ID | $5.92M |
| Health West, INC. | Pocatello, ID | $2.07M |
| Health West INC. | Pocatello, ID | $151K |
| Health West, INC. | Rock Springs, WY | $123K |
| Health West, INC. | Montpelier, ID | $66K |
| Health West, INC. | Pocatello, ID | $45K |
| Health West, INC. | Pocatello, ID | $45K |
| Health West, INC. | Pocatello, ID | $43K |
| Health West, INC. | Pocatello, ID | $34K |
| Health West, INC. | Pocatello, ID | $22K |
| Health West, INC. | Providence, UT | $13K |
| Health West, INC. | North Logan, UT | $11K |
| Health West, INC. | Pocatello, ID | $8K |
| Health West, INC. | Evanston, WY | $2K |
| Health West, INC. | North Logan, UT | $991.64 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.