Hospital
Clearwater Valley Hospital & Clinics INC
Clearwater Valley Hospital & Clinics INC was paid $314K by Medicaid between Jan 2018 and Jul 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoCLEARWATER VALLEY HOSPITAL & CLINICS INC
OROFINO, ID 83544
OROFINO, ID 83544
33aNPI1255449013assigned 08/29/2006
33bProvider typeCritical Access Hospital
28Total paid$314K
24GClaims26,063
24DCodes billed48
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Critical Access Hospital providers in Idaho
Rank by total paid#13 of 20
Median peer was paid$348K
This provider vs. median0.9×
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 | 9,500 | $114K | |
| 2019 | 8,568 | $108K | |
| 2020 | 5,427 | $76K | |
| 2022 | 1,144 | $7K | |
| 2023 | 1,080 | $7K | |
| 2024incomplete | 344 | $2K |
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 | 21% | 4,413 | 3,507 | $68K |
| 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 | 21% | 4,107 | 2,945 | $65K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 15% | 900 | 734 | $48K |
| 80053 | Comprehensive metabolic panel | 5.4% | 2,237 | 1,957 | $17K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.4% | 500 | 183 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.4% | 1,897 | 1,643 | $14K |
| 71046 | Radiologic examination, chest; 2 views | 3.2% | 674 | 596 | $10K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.8% | 106 | 104 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.7% | 609 | 602 | $9K |
| 36415 | Collection of venous blood by venipuncture | 2.5% | 3,807 | 3,073 | $8K |
| 80306 | 1.7% | 374 | 349 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.5% | 677 | 635 | $5K |
36 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 399 | $4K |
| 99285 | Emergency room visit (most serious) | 1.2% | 14 | $4K |
| 81001 | 1.2% | 1,193 | $4K | |
| 85027 | <1% | 511 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 414 | $3K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 61 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 60 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 155 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 56 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 56 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 228 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 95 | $1K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 14 | $1K |
| 80061 | Lipid panel | <1% | 103 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 447 | $983.83 |
| 81025 | <1% | 132 | $969.23 | |
| 97161 | <1% | 26 | $910.56 | |
| 86140 | <1% | 179 | $889.53 | |
| 85610 | <1% | 443 | $829.88 | |
| 84512 | <1% | 91 | $775.06 | |
| 87186 | <1% | 61 | $568.46 | |
| 87430 | <1% | 38 | $531.47 | |
| 85651 | <1% | 115 | $422.01 | |
| 99490 | Ccm add 20min | <1% | 266 | $380.48 |
| 82553 | <1% | 30 | $361.13 | |
| 83690 | <1% | 42 | $317.91 | |
| 82550 | <1% | 45 | $304.32 | |
| 88142 | <1% | 13 | $292.63 | |
| 83615 | <1% | 50 | $290.93 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 221 | $175.95 |
| 87210 | <1% | 28 | $157.20 | |
| G0008 | Administration of influenza virus vaccine | <1% | 78 | $78.32 |
| 90686 | <1% | 55 | $59.84 | |
| 81003 | <1% | 15 | $34.35 | |
| 90662 | <1% | 14 | $20.83 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 14 | $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 officialBONNER, LENNE (BUSINESS OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| ST. Mary's Hospital, INC. | Cottonwood, ID | $579K |
| Clearwater Valley Hospital & Clinics INC | Orofino, ID | $485K |
| ST. Mary's Hospital, INC. | Cottonwood, ID | $335K |
| Clearwater Valley Hospital & Clinics | Orofino, ID | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.