Southwest District Health

Southwest District Health was paid $810K by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 63% of everything it billed.

33Billing provider infoSOUTHWEST DISTRICT HEALTH
CALDWELL, ID 83607

33aNPI1598748337assigned 11/25/2005

33bProvider typeMental Health Counselor

28Total paid$810K

24GClaims20,575

24DCodes billed44

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in Idaho

Rank by total paid#16 of 113

Median peer was paid$46K

This provider vs. median18×

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	6,376	$110K
2019	6,040	$94K
2020	1,794	$28K
2021	2,413	$134K
2022	1,025	$116K
2023	1,296	$142K
2024incomplete	1,631	$185K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	63%	2,041	1,375	$509K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	3,820	2,612	$121K
90461		7.2%	1,446	1,304	$58K
D0191		5.1%	2,931	2,922	$42K
S9470	Nutritional counseling, dietitian visit	2.9%	964	950	$24K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.6%	873	864	$13K
D1351	Sealant - per tooth	1.1%	476	147	$9K
90472	Immunization administration, each additional vaccine (list separately)	1.0%	455	451	$8K
0002A		<1%	191	191	$7K
0001A		<1%	229	228	$7K
91320		<1%	34	34	$3K
90651		<1%	341	322	$2K

32 more codes

90480		<1%	37	$920.00
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	12	$720.00
90715		<1%	662	$592.58
0004A		<1%	26	$520.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	28	$444.48
90674		<1%	343	$406.32
99001		<1%	67	$405.92
90694		<1%	17	$358.68
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	16	$342.08
0012A		<1%	13	$340.68
90686		<1%	318	$336.89
90734		<1%	466	$328.38
0011A		<1%	13	$169.40
90716		<1%	29	$160.26
90707		<1%	34	$140.38
86580		<1%	17	$136.51
90649		<1%	34	$131.73
90619		<1%	159	$114.72
90633		<1%	321	$35.86
90710		<1%	230	$28.49
90723		<1%	46	$28.49
90672		<1%	44	$10.65
90670		<1%	261	$10.55
90660		<1%	14	$1.00
91300		0%	308	$0.00
90685		0%	19	$0.00
91307		0%	14	$0.00
90698		0%	122	$0.00
90696		0%	172	$0.00
90688		0%	14	$0.00
90680		0%	14	$0.00
D1206	Topical application of fluoride varnish	0%	2,904	$-85.41

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 officialBOSTER, KELLY (OFFICE SPECIALIST II)