Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Community Care West Side LLC

Community Care West Side LLC was paid $297K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoCOMMUNITY CARE WEST SIDE LLC
IDAHO FALLS, ID 83402
33aNPI1295009785assigned 02/29/2012
28Total paid$297K
24GClaims4,207
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Idaho

Rank by total paid#52 of 136
Median peer was paid$139K
This provider vs. median2.1×

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

$0$10K$20K2018201920202021202220232024
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
201813$1K
201923$2K
2021542$35K
20221,331$88K
20231,249$90K
2024incomplete1,049$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46% 2,186 2,133 $136K
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 29% 936 917 $85K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23% 856 854 $67K
87428 1.2% 68 67 $4K
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 <1% 27 27 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 53 53 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 32 32 $431.52
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 24 12 $327.80
36415 Collection of venous blood by venipuncture <1% 25 25 $43.92

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 officialMCVEY, HEATHER (OFFICE MANAGER)