Clinic
Madison Memorial Hospital
Madison Memorial Hospital was paid $1.17M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 52% of everything it billed.
33Billing provider infoMADISON MEMORIAL HOSPITAL
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1346643038assigned 10/08/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$1.17M
24GClaims19,190
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Idaho
Rank by total paid#4 of 27
Median peer was paid$114K
This provider vs. median10×
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 | 2,048 | $96K | |
| 2019 | 1,991 | $103K | |
| 2020 | 2,355 | $125K | |
| 2021 | 3,475 | $201K | |
| 2022 | 3,488 | $231K | |
| 2023 | 3,100 | $222K | |
| 2024incomplete | 2,733 | $187K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 52% | 12,290 | 12,098 | $602K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 41% | 5,612 | 5,534 | $472K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.6% | 482 | 479 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 626 | 623 | $27K |
| 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% | 154 | 152 | $8K |
| 95811 | <1% | 14 | 12 | $1K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 12 | 12 | $1K |
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 officialGONZALES, RACHEL (CHIEF EXECUTIVE OFFICER)
Parent organizationMADISON MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Madison Co Memorial Hospital | Rexburg, ID | $2.64M |
| Madison Co Memorial Hospital | Rexburg, ID | $1.56M |
| Madison Co Memorial Hospital | Rexburg, ID | $722K |
| Madison Co Memorial Hospital | Rexburg, ID | $4K |
| Madison Co Memorial Hospital | Rigby, ID | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.