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

West Valley Medical Associates INC

West Valley Medical Associates INC was paid $347K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 38% of everything it billed.

33Billing provider infoWEST VALLEY MEDICAL ASSOCIATES INC
CALDWELL, ID 83605
33aNPI1164936720assigned 11/18/2017
33bProvider typeAnesthesiology Physician
28Total paid$347K
24GClaims4,906
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Anesthesiology Physician providers in Idaho

Rank by total paid#4 of 16
Median peer was paid$26K
This provider vs. median13×

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$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
2018247$11K
2019660$24K
2020794$49K
2021848$70K
20221,059$78K
2023687$62K
2024incomplete611$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 38% 1,134 1,095 $131K
99239 Hospital discharge day management, more than 30 minutes 24% 1,269 1,231 $82K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 1,430 777 $53K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 9.1% 507 312 $31K
99222 Initial hospital care, per day, moderate complexity 7.0% 308 295 $24K
99220 2.8% 92 91 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.2% 27 27 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 28 28 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 16 13 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 27 27 $2K
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% 26 26 $1K
99221 <1% 18 16 $1K
1 more codes
99217 <1% 24 $989.87

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 officialAUGUSTUS, RICHARD (MEMBER)