Physician
West Valley Medical Group LLC
West Valley Medical Group LLC was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoWEST VALLEY MEDICAL GROUP LLC
CALDWELL, ID 83605
CALDWELL, ID 83605
33aNPI1871673798assigned 10/16/2006
33bProvider typeInternal Medicine Physician
28Total paid$2.13M
24GClaims39,204
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Idaho
Rank by total paid#2 of 19
Median peer was paid$38K
This provider vs. median56×
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 JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more
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 | 7,017 | $286K | |
| 2019 | 6,714 | $299K | |
| 2020 | 5,914 | $320K | |
| 2021 | 7,116 | $408K | |
| 2022 | 5,930 | $365K | |
| 2023 | 4,021 | $283K | |
| 2024incomplete | 2,492 | $167K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 12,949 | 11,916 | $875K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 14,988 | 13,913 | $778K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.1% | 3,218 | 958 | $151K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.7% | 1,237 | 1,159 | $142K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 2,275 | 2,253 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 347 | 325 | $31K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.2% | 692 | 661 | $27K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 267 | 240 | $24K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 194 | 188 | $19K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 445 | 439 | $10K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 137 | 123 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 66 | 66 | $7K |
24 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 46 | $5K |
| 90686 | <1% | 734 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 470 | $919.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $837.52 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $734.45 |
| 81003 | <1% | 134 | $273.36 | |
| 90473 | <1% | 14 | $250.77 | |
| 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) | <1% | 42 | $198.45 |
| 96127 | <1% | 68 | $188.94 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $183.20 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 26 | $176.90 |
| 90474 | <1% | 12 | $144.96 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 83 | $117.01 |
| 90672 | <1% | 15 | $72.59 | |
| G0008 | Administration of influenza virus vaccine | <1% | 33 | $32.43 |
| 90670 | <1% | 115 | $0.05 | |
| 90647 | <1% | 38 | $0.04 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 252 | $0.00 |
| 3078F | 0% | 98 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 3074F | 0% | 93 | $0.00 |
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 officialJOSEPH, LOUIS (VP)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.