Health West, INC.
Health West, INC. was paid $45K by Medicaid between Apr 2019 and Jan 2023, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
POCATELLO, ID 83201
Next to other Federally Qualified Health Center (FQHC) providers in Idaho
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 245 | $311.88 | |
| 2020 | 1,696 | $-165764.50 | |
| 2022 | 1,525 | $207K | |
| 2023 | 27 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 69% | 2,409 | 1,431 | $31K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 31% | 254 | 140 | $14K |
| H0031 | Mental health assessment, by non-physician | 0% | 34 | 34 | $0.00 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 0% | 18 | 18 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 652 | 270 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 126 | 73 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Health West, INC. | Pocatello, ID | $6.17M |
| Health West, INC. | Pocatello, ID | $5.92M |
| Health West, INC. | Pocatello, ID | $2.07M |
| Health West INC. | Pocatello, ID | $151K |
| Health West, INC. | Rock Springs, WY | $123K |
| Health West, INC. | Montpelier, ID | $66K |
| Health West, INC. | Pocatello, ID | $45K |
| Health West, INC. | Pocatello, ID | $43K |
| Health West, INC. | Pocatello, ID | $34K |
| Health West, INC. | Pocatello, ID | $22K |
| Health West, INC. | Providence, UT | $13K |
| Health West, INC. | North Logan, UT | $11K |
| Health West, INC. | Pocatello, ID | $8K |
| Health West, INC. | Evanston, WY | $2K |
| Health West, INC. | North Logan, UT | $991.64 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.