Physician
Valley Family Health Care INC
Valley Family Health Care INC was paid $13.94M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoVALLEY FAMILY HEALTH CARE INC
PAYETTE, ID 83661
PAYETTE, ID 83661
33aNPI1407886484assigned 07/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$13.94M
24GClaims341,808
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#2 of 136
Median peer was paid$139K
This provider vs. median100×
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 | 43,889 | $1.86M | |
| 2019 | 58,349 | $2.38M | |
| 2020 | 49,826 | $2.34M | |
| 2021 | 53,228 | $1.99M | |
| 2022 | 58,272 | $2.08M | |
| 2023 | 41,307 | $1.92M | |
| 2024incomplete | 36,937 | $1.37M |
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 | 66% | 45,589 | 39,687 | $9.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 95,092 | 81,166 | $1.73M |
| 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 | 6.0% | 24,720 | 21,359 | $841K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,706 | 895 | $107K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,932 | 3,701 | $107K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,376 | 1,361 | $98K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,350 | 1,266 | $97K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 43 | 41 | $86K |
| D1110 | Prophylaxis - adult | <1% | 1,935 | 1,917 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,090 | 3,069 | $72K |
| 90686 | <1% | 3,796 | 3,777 | $66K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 695 | 675 | $60K |
161 more codes
| D1206 | Topical application of fluoride varnish | <1% | 4,252 | $54K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 962 | $53K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,272 | $52K |
| D1120 | Dental cleaning, child | <1% | 1,488 | $50K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,440 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,103 | $47K |
| D4910 | <1% | 867 | $47K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,391 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,994 | $46K |
| D0274 | Bitewings - four radiographic images | <1% | 2,002 | $45K |
| 90670 | <1% | 2,295 | $44K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 679 | $44K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 600 | $42K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,359 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 768 | $37K |
| 76801 | <1% | 472 | $34K | |
| 90648 | <1% | 1,789 | $29K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 681 | $28K |
| 90680 | <1% | 1,389 | $27K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 627 | $25K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 303 | $25K |
| D2140 | <1% | 527 | $24K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,210 | $24K |
| 90715 | <1% | 999 | $23K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,772 | $23K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,213 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,786 | $21K |
| 90633 | <1% | 1,017 | $21K | |
| 90651 | <1% | 910 | $20K | |
| 87428 | <1% | 973 | $19K | |
| D4341 | <1% | 343 | $19K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,630 | $19K |
| 99490 | Ccm add 20min | <1% | 874 | $19K |
| 90723 | <1% | 1,124 | $18K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,583 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,776 | $15K |
| G0467 | Community health center visit, returning patient | <1% | 16,335 | $14K |
| 90734 | <1% | 688 | $14K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 238 | $13K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 243 | $13K |
| 90677 | <1% | 375 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,628 | $10K |
| 0012A | <1% | 303 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 71 | $7K |
| 0011A | <1% | 291 | $7K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 5,073 | $7K |
| 0001A | <1% | 187 | $7K | |
| 81025 | <1% | 1,368 | $6K | |
| 0002A | <1% | 151 | $5K | |
| 82948 | <1% | 3,393 | $5K | |
| 81002 | <1% | 3,029 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 933 | $5K |
| 90700 | <1% | 211 | $4K | |
| 97802 | <1% | 68 | $4K | |
| 90710 | <1% | 174 | $4K | |
| 76830 | Ultrasound, transvaginal | <1% | 41 | $3K |
| 90698 | <1% | 178 | $3K | |
| 91320 | <1% | 22 | $3K | |
| 90681 | <1% | 129 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 364 | $3K |
| 90656 | <1% | 123 | $3K | |
| 0031A | <1% | 114 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 51 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,687 | $2K |
| 83655 | <1% | 1,138 | $2K | |
| 90696 | <1% | 112 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 37 | $2K |
| 93000 | <1% | 211 | $2K | |
| 97803 | <1% | 89 | $2K | |
| 0072A | <1% | 53 | $2K | |
| 99381 | <1% | 56 | $2K | |
| D2160 | <1% | 30 | $2K | |
| 90716 | <1% | 94 | $2K | |
| 90707 | <1% | 66 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 314 | $1K |
| 0071A | <1% | 36 | $1K | |
| 85018 | <1% | 1,764 | $1K | |
| 99460 | <1% | 27 | $1K | |
| D2331 | <1% | 18 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 96 | $1K |
| D1351 | Sealant - per tooth | <1% | 34 | $1K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 18 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 76 | $1K |
| 99408 | <1% | 55 | $1K | |
| 0064A | <1% | 70 | $1K | |
| 87807 | <1% | 185 | $970.67 | |
| 82947 | <1% | 1,082 | $958.04 | |
| 99442 | <1% | 47 | $913.52 | |
| 90480 | <1% | 22 | $902.00 | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,176 | $846.63 |
| 90682 | <1% | 16 | $696.96 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 16 | $479.58 |
| 99443 | <1% | 17 | $449.68 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 409 | $410.82 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 116 | $379.88 |
| 99441 | <1% | 82 | $377.06 | |
| 90744 | <1% | 16 | $351.36 | |
| 90461 | <1% | 288 | $349.69 | |
| 96127 | <1% | 3,836 | $349.46 | |
| 69210 | <1% | 12 | $297.60 | |
| 80305 | <1% | 66 | $255.78 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 17 | $241.56 |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 30 | $224.91 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 52 | $224.82 |
| 90688 | <1% | 17 | $219.60 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 211 | $215.90 |
| 90647 | <1% | 12 | $182.28 | |
| 99188 | <1% | 72 | $116.73 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 928 | $114.80 |
| 92552 | <1% | 151 | $109.12 | |
| 82043 | <1% | 29 | $94.42 | |
| 96160 | <1% | 2,086 | $86.00 | |
| 69209 | <1% | 15 | $66.51 | |
| D0270 | <1% | 12 | $55.00 | |
| 99173 | <1% | 1,916 | $54.02 | |
| 92587 | <1% | 269 | $41.60 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $37.84 |
| D1354 | <1% | 47 | $36.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 14 | $22.77 |
| 92551 | <1% | 1,072 | $11.20 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,171 | $8.00 |
| 36416 | <1% | 336 | $2.29 | |
| 3079F | 0% | 618 | $0.00 | |
| 3080F | 0% | 58 | $0.00 | |
| 3074F | 0% | 1,819 | $0.00 | |
| 2010F | 0% | 3,463 | $0.00 | |
| 2001F | 0% | 3,199 | $0.00 | |
| D1330 | 0% | 1,848 | $0.00 | |
| 93786 | 0% | 17 | $0.00 | |
| D0603 | 0% | 1,193 | $0.00 | |
| 3008F | 0% | 2,820 | $0.00 | |
| 1126F | 0% | 291 | $0.00 | |
| 2000F | 0% | 1,014 | $0.00 | |
| 91303 | 0% | 41 | $0.00 | |
| 94760 | 0% | 553 | $0.00 | |
| 99000 | 0% | 545 | $0.00 | |
| 4010F | 0% | 64 | $0.00 | |
| 3075F | 0% | 143 | $0.00 | |
| 4037F | 0% | 26 | $0.00 | |
| 92558 | 0% | 63 | $0.00 | |
| 91301 | 0% | 34 | $0.00 | |
| 1125F | 0% | 92 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 35 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 29 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 58 | $0.00 |
| 3044F | 0% | 12 | $0.00 | |
| D0602 | 0% | 48 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 17 | $0.00 |
| 1160F | 0% | 2,482 | $0.00 | |
| D0191 | 0% | 513 | $0.00 | |
| 3078F | 0% | 1,474 | $0.00 | |
| 1159F | 0% | 2,484 | $0.00 | |
| 4040F | 0% | 103 | $0.00 | |
| 90685 | 0% | 15 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 257 | $0.00 |
| 0502F | 0% | 253 | $0.00 | |
| 4274F | 0% | 50 | $0.00 | |
| 3077F | 0% | 166 | $0.00 | |
| 90473 | 0% | 13 | $0.00 | |
| 91300 | 0% | 16 | $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% | 370 | $-120.64 |
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 officialHART, KENNETH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Valley Family Heatlh Care, INC | Payette, ID | $2.97M |
| Valley Family Health Care, INC | Emmett, ID | $341K |
| Valley Family Health Care, INC | Ontario, OR | $330K |
| Valley Family Health Care | Payette, ID | $10K |
| Valley Family Health Care, INC | Ontario, OR | $5K |
| Valley Family Health Care INC | New Plymouth, ID | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.