Clinic
Boundary Regional Community Health Center, INC.
Boundary Regional Community Health Center, INC. was paid $1.33M by Medicaid between Jan 2018 and Sep 2021, across 19 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 62% of everything it billed.
33Billing provider infoBOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
SANDPOINT, ID 83864
SANDPOINT, ID 83864
33aNPI1811054877assigned 01/02/2007
28Total paid$1.33M
24GClaims15,492
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Idaho
Rank by total paid#13 of 33
Median peer was paid$597K
This provider vs. median2.2×
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 | 8,657 | $728K | |
| 2019 | 4,851 | $399K | |
| 2020 | 1,624 | $193K | |
| 2021 | 360 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 62% | 5,919 | 5,049 | $828K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 27% | 2,206 | 969 | $363K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 652 | 521 | $98K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 139 | 119 | $23K |
| 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 | 1.2% | 871 | 789 | $16K |
| D1110 | Prophylaxis - adult | 0% | 901 | 901 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 692 | 692 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 118 | 117 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 896 | 896 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 667 | 446 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 386 | 386 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 154 | 154 | $0.00 |
7 more codes
| D1351 | Sealant - per tooth | 0% | 102 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 1,048 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 377 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 30 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 30 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 19 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 285 | $-32.17 |
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 officialKNEPPER, KEVIN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Boundary Regional Community Health Center, INC. | Sandpoint, ID | $7.03M |
| Boundary Regional Community Health Center INC | Bonners Ferry, ID | $5.48M |
| Boundary Regional Community Health Center, INC. | Priest River, ID | $74K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.