Physician
MVH BMC LLC
MVH BMC LLC was paid $11.61M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoMVH BMC LLC
BLACKFOOT, ID 83221
BLACKFOOT, ID 83221
33aNPI1467816579assigned 04/06/2016
33bProvider typeFamily Medicine Physician
28Total paid$11.61M
24GClaims137,554
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#3 of 136
Median peer was paid$139K
This provider vs. median84×
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 HILLYARD, NED controls 11+ 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 | 21,765 | $1.62M | |
| 2019 | 20,663 | $1.62M | |
| 2020 | 21,522 | $1.77M | |
| 2021 | 21,947 | $1.87M | |
| 2022 | 21,791 | $1.87M | |
| 2023 | 16,403 | $1.51M | |
| 2024incomplete | 13,463 | $1.35M |
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 | 97% | 71,388 | 63,796 | $11.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 41,475 | 37,813 | $170K |
| 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 | 1.2% | 20,067 | 17,901 | $144K |
| 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% | 341 | 312 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 92 | 88 | $321.43 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,427 | 1,422 | $57.87 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 628 | 520 | $39.97 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 365 | 363 | $18.15 |
| G0008 | Administration of influenza virus vaccine | <1% | 26 | 26 | $17.36 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 299 | 298 | $11.26 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 254 | 246 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 331 | 301 | $0.00 |
10 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 219 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 243 | $0.00 |
| J2550 | Injection, promethazine hcl, up to 50 mg | 0% | 15 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 97 | $0.00 |
| 521 | 0% | 18 | $0.00 | |
| 90715 | 0% | 34 | $0.00 | |
| 90661 | 0% | 12 | $0.00 | |
| 90686 | 0% | 59 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 96 | $0.00 |
| 90674 | 0% | 68 | $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 officialHILLYARD, NED (CHIEF COMPLIANCE OFFICER)
Parent organizationMOUNTAIN VIEW HOSPITAL LLC
| Provider | Location | Paid |
|---|---|---|
| MVH Pic LLC | Pocatello, ID | $3.03M |
| Mountain View Hospital LLC | Pocatello, ID | $1.72M |
| MVH BMC LLC | Shelley, ID | $1.08M |
| Idaho Falls Community Hospital LLC | Idaho Falls, ID | $540K |
| Idaho Falls Asc | Idaho Falls, ID | $386K |
| Prescription Center Home Care, LLC | Idaho Falls, ID | $244K |
| MVH PC Specialists LLC | Pocatello, ID | $168K |
| MVH Parkway LLC | Blackfoot, ID | $126K |
| MV Pocatello Ent, LLC | Pocatello, ID | $118K |
| Snake River Hospitalists, LLC | Idaho Falls, ID | $55K |
| MVH PMHS LLC | Pocatello, ID | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.