Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WALTER KNOX MEMORIAL HOSPITAL

NPI: 1821091083 · EMMETT, ID 83617 · Rural Health Clinic/Center · NPI assigned 05/23/2005

$3.88M
Total Medicaid Paid
41,678
Total Claims
38,505
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTURPEN, BRAD (CEO)
NPI Enumeration Date05/23/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,119 $579K
2019 7,681 $622K
2020 6,837 $614K
2021 6,180 $609K
2022 5,956 $609K
2023 4,375 $475K
2024 3,530 $372K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 24,676 22,560 $3.83M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,143 9,593 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,178 3,749 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,419 1,392 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 764 759 $961.79
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 149 146 $731.69
90460 Immunization administration through 18 years of age via any route, first or only component 78 55 $104.96
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $57.88
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 179 162 $3.86
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25 25 $0.00
90461 15 13 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $0.00