Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Boise › NPI 1205850823
Physician

Mountain States Neonatology, INC.

Mountain States Neonatology, INC. was paid $1.15M by Medicaid between Jan 2018 and Feb 2024, across 18 billing codes. Its largest line is 99480, Subsequent intensive care, per day, low birth weight infant — 46% of everything it billed.

33Billing provider infoMOUNTAIN STATES NEONATOLOGY, INC.
BOISE, ID 83706
33aNPI1205850823assigned 07/27/2006
28Total paid$1.15M
24GClaims10,808
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SANDERS, NANETTE controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20183,264$368K
20192,965$265K
20201,896$209K
2021958$87K
2022685$77K
2023943$131K
2024incomplete97$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99480 Subsequent intensive care, per day, low birth weight infant 46% 5,206 1,469 $524K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 22% 749 214 $252K
99479 Subsequent intensive care, per day, very low birth weight infant 18% 2,077 480 $211K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3.4% 1,047 933 $39K
92586 2.7% 436 436 $31K
99460 2.0% 294 293 $22K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.9% 289 277 $22K
99238 Hospital discharge day management, 30 minutes or less 1.3% 255 252 $15K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 148 70 $8K
99239 Hospital discharge day management, more than 30 minutes <1% 85 82 $8K
99222 Initial hospital care, per day, moderate complexity <1% 48 48 $5K
99477 <1% 13 13 $4K
6 more codes
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 67 $2K
99464 <1% 13 $720.53
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 23 $650.00
92650 <1% 31 $617.70
76801 <1% 13 $489.47
76820 <1% 14 $442.98

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 officialSANDERS, NANETTE (RCM DIRECTOR)
Same official

Other billing entities under SANDERS, NANETTE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.