Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Innovative Health Care Concepts INC

Innovative Health Care Concepts INC was paid $26K by Medicaid between Jul 2020 and Aug 2022, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoINNOVATIVE HEALTH CARE CONCEPTS INC
IDAHO FALLS, ID 83404
33aNPI1861035248assigned 10/18/2019
28Total paid$26K
24GClaims342
24DCodes billed2
24AFirst – last monthJul 2020 – Aug 2022
Compared with peers

Next to other Family Nurse Practitioner providers in Idaho

Rank by total paid#12 of 32
Median peer was paid$20K
This provider vs. median1.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, LISA controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
202057$3K
2021137$11K
2022148$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 75% 231 214 $19K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 111 102 $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, LISA (PROGRAM DIRECTOR)
Same official

Other billing entities under SMITH, LISA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.