Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC

NPI: 1245659093 · CALDWELL, ID 83605 · Obesity Medicine (Obstetrics & Gynecology) Physician · NPI assigned 04/09/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more

$484K
Total Medicaid Paid
8,482
Total Claims
7,911
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOSEPH, LOUIS (VP)
NPI Enumeration Date04/09/2014

Related Entities

Other providers sharing the same authorized official: JOSEPH, LOUIS

ProviderCityStateTotal Paid
SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC LAS VEGAS NV $4.67M
TANGIPAHOA PARISH SCHOOL SYSTEM AMITE LA $3.97M
RICHMOND MULTI-SPECIALTY, LLC FREDERICKSBURG VA $3.89M
CENTENNIAL HEART LLC NASHVILLE TN $3.47M
WEST VALLEY MEDICAL GROUP LLC CALDWELL ID $2.13M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.94M
EAST FALLS FAMILY MEDICINE, LLC IDAHO FALLS ID $1.05M
MOUNTAINSTAR OGDEN PEDIATRICS LLC OGDEN UT $1.04M
ALASKA REGIONAL MEDICAL GROUP, LLC ANCHORAGE AK $872K
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC SALT LAKE CITY UT $736K
GARDEN PARK PHYSICIAN GROUP INC GULFPORT MS $625K
MOUNTAINSTAR BEHAVIORAL HEALTH LLC BOUNTIFUL UT $434K
MOUNTAINSTAR CARDIOLOGY ST MARKS LLC SALT LAKE CITY UT $379K
TRISTAR FAMILY CARE, LLC ASHLAND CITY TN $368K
ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC SALT LAKE CITY UT $359K
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC OGDEN UT $358K
MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC PROVIDENCE UT $329K
SKYLINE NEUROSCIENCE ASSOCIATES, LLC NASHVILLE TN $186K
MOUNTAINSTAR SPECIALTY SERVICES LLC SALT LAKE CITY UT $125K
ST. MARK'S PHYSICIAN BILLING, LLC SALT LAKE CITY UT $112K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,152 $48K
2019 1,282 $78K
2020 1,325 $95K
2021 1,427 $77K
2022 1,585 $87K
2023 897 $47K
2024 814 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,769 3,462 $209K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,349 1,313 $64K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 549 532 $61K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,026 948 $58K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 25 25 $36K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 201 188 $18K
76801 132 132 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 98 95 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 90 89 $7K
36415 Collection of venous blood by venipuncture 751 679 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 28 25 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 250 213 $1K
76830 Ultrasound, transvaginal 12 12 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12 12 $862.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 44 $811.25
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $553.98
90686 13 12 $119.91
93000 14 14 $100.19
0502F 53 52 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 40 40 $0.00