Innovative Health Care Concepts, INC
Innovative Health Care Concepts, INC was paid $5.75M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is G9002, Coordinated care fee, maintenance rate — 78% of everything it billed.
33Billing provider infoINNOVATIVE HEALTH CARE CONCEPTS, INC
IDAHO FALLS, ID 83401
IDAHO FALLS, ID 83401
33aNPI1508077157assigned 05/25/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$5.75M
24GClaims145,872
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Idaho
Rank by total paid#1 of 6
Median peer was paid$444K
This provider vs. median13×
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 | 19,308 | $629K | |
| 2019 | 22,489 | $727K | |
| 2020 | 22,033 | $667K | |
| 2021 | 18,995 | $623K | |
| 2022 | 17,921 | $595K | |
| 2023 | 22,945 | $1.13M | |
| 2024incomplete | 22,181 | $1.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9002 | Coordinated care fee, maintenance rate | 78% | 129,818 | 41,521 | $4.46M |
| G9007 | Coordinated care fee, scheduled team conference | 22% | 16,054 | 6,843 | $1.29M |
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, LONNA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Innovative Health Care Concepts, INC | Idaho Falls, ID | $4.75M |
| Innovative Health Care Concepts, INC. | Idaho Falls, ID | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.