Clinic
Idaho State University Health Center
Idaho State University Health Center was paid $6K by Medicaid between Oct 2020 and Oct 2024, across 6 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 40% of everything it billed.
33Billing provider infoIDAHO STATE UNIVERSITY HEALTH CENTER
POCATELLO, ID 83209
POCATELLO, ID 83209
33aNPI1336214618assigned 11/21/2006
33bProvider typeStudent Health Clinic/Center
28Total paid$6K
24GClaims383
24DCodes billed6
24AFirst – last monthOct 2020 – Oct 2024
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 | |
|---|---|---|---|
| 2020 | 59 | $985.28 | |
| 2021 | 119 | $3K | |
| 2022 | 97 | $1K | |
| 2023 | 64 | $846.29 | |
| 2024incomplete | 44 | $603.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 40% | 59 | 56 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 37% | 139 | 136 | $2K |
| 90686 | 10.0% | 34 | 34 | $639.68 | |
| 90658 | 7.0% | 34 | 34 | $449.48 | |
| 36415 | Collection of venous blood by venipuncture | 4.4% | 101 | 96 | $283.05 |
| 86580 | 1.6% | 16 | 12 | $105.60 |
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 officialSOLBRIG, RONALD (DIRECTOR)
Parent organizationIDAHO STATE UNIVERSITY