Physician
Boundary Regional Community Health Center INC
Boundary Regional Community Health Center INC was paid $5.48M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoBOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
BONNERS FERRY, ID 83805
BONNERS FERRY, ID 83805
33aNPI1306883244assigned 05/31/2006
33bProvider typeFamily Medicine Physician
28Total paid$5.48M
24GClaims61,483
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#6 of 136
Median peer was paid$139K
This provider vs. median39×
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 | 13,491 | $960K | |
| 2019 | 12,077 | $925K | |
| 2020 | 12,098 | $1.13M | |
| 2021 | 10,960 | $993K | |
| 2022 | 230 | $17K | |
| 2023 | 5,053 | $620K | |
| 2024incomplete | 7,574 | $828K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 81% | 29,929 | 25,369 | $4.42M |
| D0999 | Unspecified diagnostic procedure, by report | 15% | 5,905 | 4,782 | $837K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 832 | 620 | $135K |
| 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 | <1% | 8,957 | 7,976 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 6,630 | 6,202 | $12K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 762 | 545 | $11K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 486 | 483 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 29 | 26 | $5K |
| 0012A | <1% | 78 | 78 | $2K | |
| 0011A | <1% | 89 | 80 | $1K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 451 | 212 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 467 | 318 | $259.56 |
28 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 248 | $142.24 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,212 | $92.98 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 58 | $92.80 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 320 | $10.83 |
| D1110 | Prophylaxis - adult | 0% | 513 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 499 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 853 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 320 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 30 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 66 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 12 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 51 | $0.00 |
| 99173 | 0% | 36 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 401 | $0.00 |
| D0603 | 0% | 141 | $0.00 | |
| 90686 | 0% | 107 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 1,230 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 114 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 147 | $0.00 |
| D1330 | 0% | 335 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 72 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 25 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 14 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 14 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 13 | $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 officialKNEPPER, KEVIN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Boundary Regional Community Health Center, INC. | Sandpoint, ID | $7.03M |
| Boundary Regional Community Health Center, INC. | Sandpoint, ID | $1.33M |
| Boundary Regional Community Health Center, INC. | Priest River, ID | $74K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.