Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Optima Health Care Systems

Optima Health Care Systems was paid $195K by Medicaid between Sep 2022 and Nov 2022, across 2 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 96% of everything it billed.

33Billing provider infoOPTIMA HEALTH CARE SYSTEMS
TWIN FALLS, ID 83301
33aNPI1780218404assigned 03/03/2020
28Total paid$195K
24GClaims541
24DCodes billed2
24AFirst – last monthSep 2022 – Nov 2022
Compared with peers

Next to other Marriage & Family Therapist providers in Idaho

Rank by total paid#2 of 11
Median peer was paid$29K
This provider vs. median6.6×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2022541$195K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 96% 462 32 $187K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.2% 79 27 $8K

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 officialPOTTER, STEPHANIE (OWNER)