Clinic
Boise State Health Center
Boise State Health Center was paid $16K by Medicaid between Sep 2021 and Oct 2023, across 5 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 92% of everything it billed.
33Billing provider infoBOISE STATE HEALTH CENTER
BOISE, ID 83725
BOISE, ID 83725
33aNPI1194865444assigned 02/07/2007
33bProvider typeStudent Health Clinic/Center
28Total paid$16K
24GClaims407
24DCodes billed5
24AFirst – last monthSep 2021 – Oct 2023
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 | |
|---|---|---|---|
| 2021 | 367 | $15K | |
| 2022 | 15 | $208.50 | |
| 2023 | 25 | $415.39 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 92% | 316 | 285 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 45 | 45 | $720.08 |
| 90674 | 2.2% | 17 | 17 | $347.82 | |
| 90686 | 1.4% | 12 | 12 | $213.71 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 17 | 17 | $0.17 |
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 officialWOLFE, ROCHELLE (MEDICAL DIRECTOR)