Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Idaho Falls › NPI 1174005235
Clinic

Idaho Falls Asc

Idaho Falls Asc was paid $386K by Medicaid between Nov 2021 and Dec 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.

33Billing provider infoIDAHO FALLS ASC
IDAHO FALLS, ID 83404
33aNPI1174005235assigned 09/05/2018
28Total paid$386K
24GClaims1,533
24DCodes billed6
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Idaho

Rank by total paid#13 of 34
Median peer was paid$126K
This provider vs. median3.1×

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$10K$20K$30K2018201920202021202220232024
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
202124$8K
2022480$133K
2023447$106K
2024incomplete582$139K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 50% 318 318 $193K
D2930 Prefabricated stainless steel crown - primary tooth 36% 296 295 $138K
D9420 13% 861 858 $48K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 28 28 $3K
D7140 Extraction, erupted tooth or exposed root <1% 16 16 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 14 14 $2K

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
Prescription Center Home Care, LLCIdaho Falls, ID$244K
MVH PC Specialists LLCPocatello, ID$168K
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.