Hospital
Kootenai Health, INC.
Kootenai Health, INC. was paid $6.64M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoKOOTENAI HEALTH, INC.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
33aNPI1174661151assigned 02/02/2007
33bProvider typeGeneral Acute Care Hospital
28Total paid$6.64M
24GClaims147,786
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Idaho
Rank by total paid#3 of 12
Median peer was paid$3.12M
This provider vs. median2.1×
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.
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 | 14,930 | $595K | |
| 2019 | 12,885 | $551K | |
| 2020 | 22,851 | $1.12M | |
| 2021 | 21,719 | $1.01M | |
| 2022 | 21,271 | $1.08M | |
| 2023 | 23,153 | $1.27M | |
| 2024incomplete | 30,977 | $1.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 28,573 | 26,584 | $1.82M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 22,553 | 8,328 | $959K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.0% | 10,111 | 4,875 | $595K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 11,435 | 10,481 | $558K |
| 99223 | Prolong inpt eval add15 m | 4.7% | 3,163 | 3,007 | $314K |
| S9485 | Crisis intervention mental health services, per diem | 4.7% | 861 | 766 | $310K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.0% | 2,589 | 1,176 | $268K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.9% | 7,380 | 7,189 | $257K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 3,365 | 3,296 | $250K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.2% | 2,164 | 2,103 | $149K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 1,119 | 1,077 | $114K |
| 95886 | 1.7% | 1,120 | 1,072 | $110K |
81 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 21,107 | $98K |
| 59025 | Fetal non-stress test | 1.3% | 3,898 | $85K |
| 99283 | Emergency room visit (moderate) | 1.2% | 1,618 | $83K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.2% | 2,822 | $83K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,999 | $66K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 581 | $63K |
| 95957 | <1% | 960 | $59K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 747 | $45K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 207 | $25K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 426 | $24K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,783 | $21K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 491 | $20K |
| 99460 | <1% | 240 | $19K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 225 | $17K |
| 99220 | <1% | 174 | $17K | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 429 | $17K |
| 95806 | <1% | 443 | $16K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 554 | $15K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 205 | $15K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 39 | $15K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 114 | $12K |
| 90837 | Psychotherapy session, about an hour | <1% | 162 | $12K |
| 95909 | <1% | 128 | $11K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 398 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 54 | $8K |
| 95251 | <1% | 519 | $8K | |
| 95911 | <1% | 50 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 665 | $6K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 52 | $5K |
| 92557 | <1% | 168 | $5K | |
| H0031 | Mental health assessment, by non-physician | <1% | 172 | $5K |
| 95811 | <1% | 54 | $4K | |
| H0032 | Mental health service plan development by non-physician | <1% | 172 | $4K |
| 93296 | <1% | 368 | $4K | |
| 95912 | <1% | 14 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 25 | $3K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 39 | $2K |
| 92567 | <1% | 196 | $2K | |
| 93000 | <1% | 218 | $2K | |
| 64615 | <1% | 30 | $2K | |
| 93295 | <1% | 95 | $2K | |
| 94729 | <1% | 97 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $2K |
| 99284 | Emergency room visit (serious) | <1% | 15 | $1K |
| 99417 | Prolong home eval add 15m | <1% | 50 | $1K |
| 73610 | <1% | 54 | $1K | |
| 82948 | <1% | 245 | $987.42 | |
| 94726 | <1% | 51 | $943.35 | |
| 95908 | <1% | 16 | $929.22 | |
| 73630 | <1% | 46 | $925.55 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $872.04 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $490.45 |
| 62370 | <1% | 12 | $472.46 | |
| 99490 | Ccm add 20min | <1% | 244 | $398.26 |
| 99418 | Prolong nursin fac eval 15m | <1% | 17 | $297.94 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | $274.40 |
| 80305 | <1% | 18 | $207.90 | |
| 93016 | <1% | 13 | $187.32 | |
| 90686 | <1% | 30 | $156.62 | |
| 94060 | <1% | 12 | $126.27 | |
| 93018 | <1% | 14 | $114.94 | |
| 73140 | <1% | 15 | $113.16 | |
| 93308 | <1% | 13 | $105.98 | |
| 99152 | <1% | 15 | $85.71 | |
| 82962 | <1% | 28 | $73.74 | |
| 93297 | <1% | 14 | $62.40 | |
| 93321 | <1% | 13 | $30.10 | |
| 3074F | 0% | 2,521 | $0.00 | |
| 3052F | 0% | 16 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 39 | $0.00 |
| 3044F | 0% | 55 | $0.00 | |
| 1125F | 0% | 38 | $0.00 | |
| 3079F | 0% | 82 | $0.00 | |
| 3008F | 0% | 27 | $0.00 | |
| 1159F | 0% | 3,069 | $0.00 | |
| 1160F | 0% | 1,076 | $0.00 | |
| 0502F | 0% | 749 | $0.00 | |
| 3078F | 0% | 1,861 | $0.00 | |
| 3051F | 0% | 38 | $0.00 | |
| 2028F | 0% | 14 | $0.00 | |
| 3077F | 0% | 12 | $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 officialNESS, JON (CEO)
| Provider | Location | Paid |
|---|---|---|
| Kootenai Health, INC. | Coeur D Alene, ID | $6.94M |
| Kootenai Health, INC. | Coeur D Alene, ID | $2.59M |
| Kootenai Health, INC. | Coeur D Alene, ID | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.