Agency
Franklin County Medical Center
Franklin County Medical Center was paid $4.22M by Medicaid between Jan 2018 and Oct 2024, across 44 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 33% of everything it billed.
33Billing provider infoFRANKLIN COUNTY MEDICAL CENTER
PRESTON, ID 83263
PRESTON, ID 83263
33aNPI1548355811assigned 10/04/2006
33bProvider typeHome Health Agency
28Total paid$4.22M
24GClaims103,663
24DCodes billed44
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Home Health Agency providers in Idaho
Rank by total paid#6 of 47
Median peer was paid$356K
This provider vs. median12×
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 | 15,494 | $326K | |
| 2019 | 19,680 | $549K | |
| 2020 | 16,538 | $656K | |
| 2021 | 16,619 | $685K | |
| 2022 | 13,097 | $607K | |
| 2023 | 13,123 | $793K | |
| 2024incomplete | 9,112 | $609K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 33% | 10,483 | 1,348 | $1.41M |
| H2032 | Activity therapy, per 15 minutes | 22% | 27,502 | 2,536 | $930K |
| 97537 | 14% | 30,148 | 2,068 | $603K | |
| S5100 | Day care services, adult; per 15 minutes | 10% | 15,095 | 1,815 | $439K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 7.1% | 4,708 | 676 | $300K |
| 96152 | 3.4% | 1,188 | 109 | $143K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.8% | 975 | 132 | $77K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.7% | 2,118 | 739 | $71K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.6% | 1,258 | 439 | $67K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 591 | 516 | $38K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,183 | 455 | $36K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 550 | 500 | $27K |
32 more codes
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 28 | $10K |
| 80053 | Comprehensive metabolic panel | <1% | 1,195 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,483 | $9K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 191 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,505 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 435 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 75 | $5K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 101 | $4K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 46 | $4K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 51 | $4K |
| 87449 | <1% | 162 | $2K | |
| 92523 | <1% | 14 | $2K | |
| 97014 | <1% | 120 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15 | $1K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 29 | $1K |
| 81001 | <1% | 551 | $1K | |
| 97165 | <1% | 14 | $1K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 180 | $670.35 |
| 84439 | <1% | 94 | $617.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $584.22 |
| 87088 | <1% | 91 | $539.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 105 | $524.93 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 60 | $522.85 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 34 | $414.61 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 92 | $307.07 |
| 84703 | <1% | 37 | $286.69 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 64 | $192.09 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 17 | $115.73 |
| 90662 | 0% | 15 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 13 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $0.00 |
| 90732 | 0% | 13 | $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 officialSMART, PAUL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Franklin County Medical Center | Preston, ID | $4.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.