Garden Valley Family Medicine PC

Garden Valley Family Medicine PC was paid $259K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoGARDEN VALLEY FAMILY MEDICINE PC
GARDEN VALLEY, ID 83622

33aNPI1245312750assigned 10/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$259K

24GClaims5,021

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Idaho

Rank by total paid#58 of 136

Median peer was paid$139K

This provider vs. median1.9×

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	541	$22K
2019	375	$17K
2020	657	$34K
2021	1,059	$52K
2022	967	$52K
2023	681	$37K
2024incomplete	741	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	85%	3,741	3,485	$219K
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	13%	423	396	$34K
36415	Collection of venous blood by venipuncture	<1%	696	655	$3K
0012A		<1%	28	28	$885.17
0011A		<1%	28	27	$796.89
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	18	18	$697.84
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	13	13	$387.40
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	26	26	$386.88
91301		0%	48	41	$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 officialKOENIG, MICHAEL (OWNER)