Pocatello Health Services, LLC

Pocatello Health Services, LLC was paid $3.12M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoPOCATELLO HEALTH SERVICES, LLC
POCATELLO, ID 83201

33aNPI1215165485assigned 06/26/2009

33bProvider typeGeneral Acute Care Hospital

28Total paid$3.12M

24GClaims70,940

24DCodes billed72

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in Idaho

Rank by total paid#7 of 12

Median peer was paid$3.12M

This provider vs. median1.0×

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	6,831	$162K
2019	7,366	$200K
2020	9,051	$376K
2021	11,997	$521K
2022	13,822	$676K
2023	11,590	$629K
2024incomplete	10,283	$560K

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	33%	16,650	15,518	$1.04M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	10,323	4,285	$434K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	10,546	9,235	$423K
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	6.0%	1,797	1,781	$187K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	3.6%	817	799	$113K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	3.0%	2,382	2,317	$94K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	2.8%	1,437	557	$88K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	2.4%	1,941	1,133	$75K
99222	Initial hospital care, per day, moderate complexity	1.9%	677	662	$58K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.8%	313	312	$58K
97597		1.8%	2,124	1,330	$58K
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.5%	806	335	$45K

60 more codes

99203	Doctor's office visit, new patient (routine)	1.4%	629	$44K
99223	Prolong inpt eval add15 m	1.4%	456	$44K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.4%	8,993	$44K
99233	Hospital visit by a doctor, follow-up day (complex)	1.3%	880	$42K
95886		1.2%	342	$37K
99239	Hospital discharge day management, more than 30 minutes	1.1%	546	$34K
99205	Prolong outpt/office vis	<1%	182	$30K
99215	Doctor's office visit, returning patient (complex)	<1%	279	$23K
92567		<1%	1,824	$20K
92557		<1%	395	$10K
99238	Hospital discharge day management, 30 minutes or less	<1%	275	$10K
90792	Psychiatric diagnostic evaluation with medical services	<1%	99	$10K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	207	$9K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	28	$7K
99454		<1%	261	$6K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	133	$6K
93016		<1%	355	$5K
93018		<1%	505	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	205	$4K
95117		<1%	687	$4K
99457		<1%	247	$4K
94729		<1%	688	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	166	$4K
94726		<1%	453	$4K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	41	$3K
64483		<1%	12	$3K
95911		<1%	15	$3K
93248		<1%	140	$3K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	12	$3K
92582		<1%	49	$2K
95806		<1%	74	$2K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	13	$2K
91010		<1%	37	$2K
92587		<1%	90	$2K
94010		<1%	279	$1K
94060		<1%	178	$1K
91037		<1%	37	$1K
93294		<1%	85	$1K
71046	Radiologic examination, chest; 2 views	<1%	154	$1K
20610		<1%	29	$949.06
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%	12	$715.77
95816		<1%	12	$531.07
36415	Collection of venous blood by venipuncture	<1%	180	$491.02
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	39	$361.92
90686		<1%	55	$358.26
81003		<1%	145	$347.92
72100		<1%	43	$328.97
93000		<1%	33	$260.62
93970		<1%	12	$231.12
81002		<1%	144	$202.75
93922		<1%	26	$174.44
93297		<1%	16	$102.11
99153	Mod sedat endo service >5yrs	<1%	14	$78.12
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	86	$24.68
3017F		0%	52	$0.00
3775F		0%	38	$0.00
1036F		0%	15	$0.00
1123F		0%	17	$0.00
4040F		0%	55	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	53	$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 officialABREU, JOHN (CFO)