Advanced Care Northwest LLC

Advanced Care Northwest LLC was paid $739K by Medicaid between Jun 2019 and Jul 2023, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 78% of everything it billed.

33Billing provider infoADVANCED CARE NORTHWEST LLC
SANDPOINT, ID 83864

33aNPI1497143747assigned 01/08/2015

33bProvider typeNon-emergency Medical Transport (VAN)

28Total paid$739K

24GClaims11,079

24DCodes billed2

24AFirst – last monthJun 2019 – Jul 2023

Compared with peers

Next to other Non-emergency Medical Transport (VAN) providers in Idaho

Rank by total paid#4 of 18

Median peer was paid$154K

This provider vs. median4.8×

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
2019	900	$116K
2020	2,120	$219K
2021	4,326	$215K
2022	1,940	$112K
2023	1,793	$78K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	78%	6,366	658	$579K
S5130	Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes	22%	4,713	510	$160K

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 officialBALDWIN, AMY (MEMBER/ MANGER)