Idaho Heart Institute PC
Idaho Heart Institute PC was paid $496K by Medicaid between Jan 2018 and Oct 2023, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoIDAHO HEART INSTITUTE PC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1477656718assigned 09/05/2006
33bProvider typeSpecialist
28Total paid$496K
24GClaims22,852
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Specialist providers in Idaho
Rank by total paid#5 of 34
Median peer was paid$53K
This provider vs. median9.3×
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 | 1,307 | $40K | |
| 2019 | 2,924 | $33K | |
| 2020 | 3,374 | $71K | |
| 2021 | 6,074 | $139K | |
| 2022 | 5,351 | $127K | |
| 2023 | 3,822 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 4,382 | 4,069 | $227K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 45% | 3,852 | 3,739 | $222K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.7% | 211 | 210 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 180 | 173 | $8K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.6% | 41 | 39 | $8K |
| 93015 | <1% | 81 | 79 | $3K | |
| 93000 | <1% | 274 | 258 | $2K | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,653 | 1,546 | $2K |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 395 | 373 | $413.04 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,712 | 4,363 | $17.25 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 1,714 | 1,613 | $8.47 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 275 | 247 | $7.00 |
11 more codes
| 1111F | <1% | 299 | $7.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,061 | $0.04 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 1,284 | $0.04 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 29 | $0.00 |
| 3288F | 0% | 273 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,115 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 12 | $0.00 |
| 1036F | 0% | 849 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 132 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 13 | $0.00 |
| 4086F | 0% | 15 | $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 officialCHAMBERS, JOHN (PRESIDENT)