Physician
Community Council of Idaho, INC
Community Council of Idaho, INC was paid $3.02M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCOMMUNITY COUNCIL OF IDAHO, INC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1710925250assigned 06/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.02M
24GClaims30,430
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#9 of 136
Median peer was paid$139K
This provider vs. median22×
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 | 2,218 | $150K | |
| 2019 | 435 | $39K | |
| 2020 | 2,632 | $297K | |
| 2021 | 3,184 | $357K | |
| 2022 | 7,804 | $774K | |
| 2023 | 8,502 | $808K | |
| 2024incomplete | 5,655 | $600K |
Box 24 · Service lines
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 | 99% | 16,644 | 14,817 | $3.00M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 7,358 | 6,898 | $14K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 3,370 | 3,178 | $6K |
| 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 | <1% | 13 | 12 | $953.88 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,967 | 1,905 | $646.23 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 530 | 311 | $85.25 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | 24 | $2.21 |
| 90674 | <1% | 12 | 12 | $1.90 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | 24 | $0.12 |
| 99000 | 0% | 382 | 369 | $0.00 | |
| 85018 | 0% | 16 | 16 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 21 | 15 | $0.00 |
4 more codes
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 officialCANTU, ARNOLD (CLINIC ADMINISTRATOR)
Parent organizationCOMMUNITY COUNCIL OF IDAHO, INC
| Provider | Location | Paid |
|---|---|---|
| Community Council of Idaho INC | Idaho Falls, ID | $551K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.