Clinic
Innovative Health Care Concepts, INC
Innovative Health Care Concepts, INC was paid $4.75M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 41% of everything it billed.
33Billing provider infoINNOVATIVE HEALTH CARE CONCEPTS, INC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1598975658assigned 05/23/2007
33bProvider typeAdult Day Care Clinic/Center
28Total paid$4.75M
24GClaims77,725
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in Idaho
Rank by total paid#5 of 6
Median peer was paid$5.67M
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2018 | 13,347 | $880K | |
| 2019 | 12,989 | $808K | |
| 2020 | 9,087 | $794K | |
| 2021 | 10,897 | $699K | |
| 2022 | 9,888 | $545K | |
| 2023 | 10,169 | $462K | |
| 2024incomplete | 11,348 | $565K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 41% | 14,415 | 2,772 | $1.97M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 20% | 8,192 | 1,313 | $950K |
| H2032 | Activity therapy, per 15 minutes | 10% | 13,051 | 1,252 | $491K |
| 97537 | 9.4% | 20,240 | 1,130 | $445K | |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 6.8% | 6,183 | 1,354 | $326K |
| 96152 | 6.1% | 2,274 | 392 | $290K | |
| S5100 | Day care services, adult; per 15 minutes | 3.4% | 9,706 | 1,037 | $160K |
| T1027 | Family training and counseling for child development, per 15 minutes | 1.3% | 1,553 | 710 | $61K |
| H2014 | Skills training and development, per 15 minutes | <1% | 298 | 62 | $31K |
| T1005 | Respite care services, up to 15 minutes | <1% | 434 | 106 | $12K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 939 | 38 | $11K |
| H0032 | Mental health service plan development by non-physician | <1% | 440 | 24 | $7K |
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 | $5.75M |
| 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.