Medicaid Provider Spending

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

WEST VALLEY MEDICAL GROUP LLC

NPI: 1871673798 · CALDWELL, ID 83605 · Internal Medicine Physician · NPI assigned 10/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more

$2.13M
Total Medicaid Paid
39,204
Total Claims
34,545
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOSEPH, LOUIS (VP)
NPI Enumeration Date10/16/2006

Related Entities

Other providers sharing the same authorized official: JOSEPH, LOUIS

ProviderCityStateTotal Paid
SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC LAS VEGAS NV $4.67M
TANGIPAHOA PARISH SCHOOL SYSTEM AMITE LA $3.97M
RICHMOND MULTI-SPECIALTY, LLC FREDERICKSBURG VA $3.89M
CENTENNIAL HEART LLC NASHVILLE TN $3.47M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.94M
EAST FALLS FAMILY MEDICINE, LLC IDAHO FALLS ID $1.05M
MOUNTAINSTAR OGDEN PEDIATRICS LLC OGDEN UT $1.04M
ALASKA REGIONAL MEDICAL GROUP, LLC ANCHORAGE AK $872K
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC SALT LAKE CITY UT $736K
GARDEN PARK PHYSICIAN GROUP INC GULFPORT MS $625K
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC CALDWELL ID $484K
MOUNTAINSTAR BEHAVIORAL HEALTH LLC BOUNTIFUL UT $434K
MOUNTAINSTAR CARDIOLOGY ST MARKS LLC SALT LAKE CITY UT $379K
TRISTAR FAMILY CARE, LLC ASHLAND CITY TN $368K
ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC SALT LAKE CITY UT $359K
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC OGDEN UT $358K
MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC PROVIDENCE UT $329K
SKYLINE NEUROSCIENCE ASSOCIATES, LLC NASHVILLE TN $186K
MOUNTAINSTAR SPECIALTY SERVICES LLC SALT LAKE CITY UT $125K
ST. MARK'S PHYSICIAN BILLING, LLC SALT LAKE CITY UT $112K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,492 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,949 11,916 $875K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,988 13,913 $778K
99232 Subsequent hospital care, per day, moderate complexity 3,218 958 $151K
99215 Prolong outpt/office vis 1,237 1,159 $142K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,275 2,253 $41K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 347 325 $31K
99309 Subsequent nursing facility care, per day, low to moderate complexity 692 661 $27K
99233 Prolong inpt eval add15 m 267 240 $24K
99222 Initial hospital care, per day, moderate complexity 194 188 $19K
90472 Immunization administration, each additional vaccine (list separately) 445 439 $10K
90792 Psychiatric diagnostic evaluation with medical services 137 123 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 66 66 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 46 46 $5K
90686 734 724 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 27 25 $2K
99205 Prolong outpt/office vis 13 12 $2K
36415 Collection of venous blood by venipuncture 470 447 $919.50
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 25 $837.52
99239 Hospital discharge day management, more than 30 minutes 13 13 $734.45
81003 134 128 $273.36
90473 14 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) 42 38 $198.45
96127 68 65 $188.94
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $183.20
83036 Hemoglobin; glycosylated (A1C) 26 26 $176.90
90474 12 12 $144.96
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 83 78 $117.01
90672 15 15 $72.59
G0008 Administration of influenza virus vaccine 33 29 $32.43
90670 115 115 $0.05
90647 38 38 $0.04
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 252 234 $0.00
3078F 98 93 $0.00
90723 12 12 $0.00
90680 12 12 $0.00
3074F 93 89 $0.00