Behavioral
Innovative Health Care Concepts, INC
Innovative Health Care Concepts, INC was paid $3.01M by Medicaid between Jan 2018 and Jun 2024, across 29 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 15% of everything it billed.
33Billing provider infoINNOVATIVE HEALTH CARE CONCEPTS, INC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1427108323assigned 01/11/2007
33bProvider typeMental Health Counselor
28Total paid$3.01M
24GClaims32,955
24DCodes billed29
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Mental Health Counselor providers in Idaho
Rank by total paid#6 of 113
Median peer was paid$46K
This provider vs. median66×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, LISA controls 12+ related entities in our dataset. Read more
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 | 9,196 | $823K | |
| 2019 | 8,926 | $794K | |
| 2020 | 6,312 | $491K | |
| 2022 | 593 | $96K | |
| 2023 | 4,636 | $459K | |
| 2024incomplete | 3,292 | $351K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 15% | 7,544 | 3,522 | $446K |
| 96139 | 13% | 1,245 | 1,203 | $388K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 9.8% | 3,579 | 1,842 | $295K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.7% | 2,455 | 2,441 | $262K |
| 96133 | 7.5% | 590 | 571 | $225K | |
| 96118 | 7.4% | 638 | 603 | $223K | |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 6.1% | 1,458 | 355 | $184K |
| 96119 | 4.8% | 767 | 656 | $145K | |
| H0038 | Self-help/peer services, per 15 minutes | 4.8% | 2,090 | 432 | $144K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.8% | 1,208 | 488 | $115K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 3.5% | 2,208 | 1,173 | $106K |
| 96131 | 2.8% | 250 | 237 | $85K |
17 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 2.7% | 897 | $80K |
| 96132 | 2.4% | 699 | $73K | |
| H0046 | Mental health services, not otherwise specified | 1.9% | 591 | $57K |
| 96138 | 1.2% | 1,247 | $37K | |
| 96130 | <1% | 263 | $26K | |
| 96120 | <1% | 206 | $20K | |
| H0031 | Mental health assessment, by non-physician | <1% | 312 | $19K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 188 | $17K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 855 | $17K |
| T1016 | Case management, each 15 minutes | <1% | 251 | $12K |
| 90785 | <1% | 2,770 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 246 | $11K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 52 | $7K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 236 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 50 | $2K |
| H0032 | Mental health service plan development by non-physician | <1% | 18 | $763.02 |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 42 | $197.86 |
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 officialSMITH, LISA (PROGRAM DIRECTOR)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.