Physician
Boundary Regional Community Health Center, INC.
Boundary Regional Community Health Center, INC. was paid $7.03M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoBOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
SANDPOINT, ID 83864
SANDPOINT, ID 83864
33aNPI1316343320assigned 11/18/2014
33bProvider typePediatrics Physician
28Total paid$7.03M
24GClaims72,298
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Idaho
Rank by total paid#5 of 22
Median peer was paid$564K
This provider vs. median12×
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 | 9,227 | $746K | |
| 2019 | 9,659 | $766K | |
| 2020 | 7,120 | $629K | |
| 2021 | 7,820 | $731K | |
| 2022 | 2,465 | $234K | |
| 2023 | 16,112 | $1.80M | |
| 2024incomplete | 19,895 | $2.12M |
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 | 95% | 36,429 | 30,127 | $6.65M |
| D0999 | Unspecified diagnostic procedure, by report | 3.5% | 1,500 | 1,342 | $244K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 280 | 237 | $51K |
| 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% | 5,712 | 5,379 | $42K |
| 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% | 10,985 | 10,341 | $18K |
| 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% | 213 | 171 | $13K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 374 | 204 | $2K |
| 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 | <1% | 253 | 252 | $1K |
| 0002A | <1% | 26 | 26 | $687.77 | |
| 0072A | <1% | 16 | 16 | $599.85 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 711 | 703 | $387.58 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 43 | 42 | $347.78 |
49 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,228 | $326.75 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,479 | $290.88 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,383 | $273.33 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 273 | $222.64 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,463 | $178.23 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 526 | $109.42 |
| 90686 | <1% | 463 | $96.58 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $62.40 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,719 | $46.29 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 553 | $30.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 759 | $27.60 |
| 85018 | <1% | 13 | $19.22 | |
| 99173 | <1% | 526 | $3.58 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 169 | $0.00 |
| 96127 | 0% | 39 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 125 | $0.00 |
| 90697 | 0% | 26 | $0.00 | |
| 90698 | 0% | 56 | $0.00 | |
| 36416 | 0% | 37 | $0.00 | |
| D0602 | 0% | 28 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 421 | $0.00 |
| 90744 | 0% | 40 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 39 | $0.00 |
| D1330 | 0% | 202 | $0.00 | |
| 96161 | 0% | 99 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 161 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 256 | $0.00 |
| D0603 | 0% | 128 | $0.00 | |
| D0601 | 0% | 14 | $0.00 | |
| 90474 | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 54 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 265 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 62 | $0.00 |
| 90670 | 0% | 233 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 318 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 51 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 165 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 16 | $0.00 |
| 99177 | 0% | 27 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 169 | $0.00 |
| 90671 | 0% | 15 | $0.00 | |
| 80061 | Lipid panel | 0% | 14 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 14 | $0.00 |
| 90734 | 0% | 25 | $0.00 | |
| 81002 | 0% | 14 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 13 | $0.00 |
| 90633 | 0% | 13 | $0.00 | |
| 90681 | 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 (CEO)
| Provider | Location | Paid |
|---|---|---|
| Boundary Regional Community Health Center INC | Bonners Ferry, ID | $5.48M |
| 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.