Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › CALDWELL › WEST VALLEY MEDICAL CENTER, INC.

WEST VALLEY MEDICAL CENTER, INC.

NPI: 1891732905 · CALDWELL, ID 83605 · Psychiatric Hospital Unit · NPI assigned 05/31/2006

$7.84M
Total Medicaid Paid
208,656
Total Claims
172,341
Beneficiaries
175
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRUCKS, JARED (CFO)
NPI Enumeration Date05/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81,260 $2.68M
2019 69,548 $2.98M
2020 44,791 $2.07M
2021 4,100 $57K
2022 4,254 $31K
2023 3,153 $12K
2024 1,550 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 13,704 12,666 $1.94M
99284 Emergency department visit for the evaluation and management, high severity 8,927 7,882 $1.65M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 9,736 3,079 $564K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,016 1,804 $510K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,075 3,912 $350K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,751 1,721 $244K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,768 2,672 $233K
96375 Therapeutic injection; each additional sequential IV push 2,937 2,460 $197K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,513 1,400 $178K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,156 5,317 $175K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,049 4,261 $131K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 472 446 $100K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,299 1,205 $98K
80053 Comprehensive metabolic panel 13,353 11,516 $91K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,123 1,821 $79K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,410 1,313 $69K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,828 1,778 $67K
85027 16,302 13,195 $66K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,815 695 $58K
99281 Emergency department visit for the evaluation and management, self-limited or minor 908 886 $50K
70450 Computed tomography, head or brain; without contrast material 1,360 1,247 $45K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,095 1,061 $40K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,089 1,055 $39K
84443 Thyroid stimulating hormone (TSH) 2,975 2,797 $37K
97535 Self-care/home management training, each 15 minutes 1,160 767 $34K
36415 Collection of venous blood by venipuncture 16,133 13,286 $27K
92523 195 172 $27K
76705 Ultrasound, abdominal, real time with image documentation; limited 675 621 $26K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,074 645 $25K
88305 Level IV - Surgical pathology, gross and microscopic examination 557 502 $25K
87086 Culture, bacterial; quantitative colony count, urine 3,676 3,337 $25K
94664 931 824 $22K
87634 298 290 $22K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 49 49 $21K
71046 Radiologic examination, chest; 2 views 1,795 1,679 $20K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 378 364 $20K
84484 3,827 2,698 $19K
71275 Computed tomographic angiography, chest, with contrast material 192 179 $19K
72125 Computed tomography, cervical spine; without contrast material 354 335 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material 334 305 $17K
71045 Radiologic examination, chest; single view 3,646 3,293 $17K
83690 2,902 2,591 $16K
12001 102 100 $16K
83880 998 877 $16K
80055 300 290 $15K
81001 5,725 5,114 $15K
81025 2,026 1,900 $14K
80048 Basic metabolic panel (calcium, ionized) 2,615 2,122 $13K
84703 1,786 1,658 $13K
76830 Ultrasound, transvaginal 204 195 $12K
80061 Lipid panel 1,500 1,427 $12K
87430 863 842 $12K
84439 1,501 1,417 $11K
97162 292 271 $11K
77067 Screening mammography, bilateral, including computer-aided detection 272 251 $10K
74018 828 786 $10K
76801 179 155 $10K
84702 646 545 $10K
96361 Intravenous infusion, hydration; each additional hour 285 215 $9K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 44 40 $8K
41899 Unlisted procedure, dentoalveolar structures 37 12 $8K
87150 148 146 $8K
83605 1,153 937 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 270 247 $8K
73610 502 487 $7K
83036 Hemoglobin; glycosylated (A1C) 1,216 1,146 $7K
87040 975 520 $7K
87653 170 162 $7K
73562 427 406 $7K
87186 970 874 $6K
86140 1,320 1,225 $6K
73110 244 241 $4K
93017 58 52 $4K
87081 713 693 $4K
81003 2,211 2,030 $4K
73630 319 311 $4K
72100 340 305 $4K
86701 425 412 $4K
93971 58 56 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 45 39 $3K
84145 225 194 $3K
73130 206 200 $3K
V2632 Posterior chamber intraocular lens 96 82 $3K
85610 1,049 913 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 77 76 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 79 49 $3K
85379 350 328 $3K
88304 74 72 $3K
85730 613 550 $3K
80076 462 425 $2K
J7030 Infusion, normal saline solution , 1000 cc 1,539 1,295 $2K
73030 200 185 $2K
82728 248 226 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $2K
87070 317 287 $2K
12011 14 14 $2K
J2270 Injection, morphine sulfate, up to 10 mg 1,166 1,002 $2K
87486 49 49 $2K
87581 49 49 $2K
83735 448 351 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 158 131 $2K
99153 Mod sedat endo service >5yrs 36 29 $2K
85652 646 590 $1K
87210 317 304 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 913 808 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,845 1,602 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 12 $1K
87280 102 100 $1K
82947 325 315 $1K
73140 72 71 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 30 26 $1K
85018 492 472 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 56 51 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 77 72 $1K
82607 80 79 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,371 996 $1K
99152 38 31 $992.39
71260 Computed tomography, thorax, diagnostic; with contrast material 14 13 $918.56
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,551 2,192 $911.41
J0500 Injection, dicyclomine hcl, up to 20 mg 14 14 $879.97
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 13 12 $836.44
83550 140 130 $820.88
83540 174 160 $780.83
G0378 Hospital observation service, per hour 482 398 $763.52
86901 297 254 $745.49
90715 36 36 $724.36
86900 237 199 $617.54
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $541.97
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 16 13 $541.07
J2550 Injection, promethazine hcl, up to 50 mg 281 227 $536.06
82550 110 103 $520.29
72110 41 32 $506.44
76642 18 15 $505.53
86850 131 111 $503.97
J3010 Injection, fentanyl citrate, 0.1 mg 1,215 1,086 $484.67
36000 107 100 $389.10
73080 26 24 $371.60
82043 120 115 $365.83
J7120 Ringers lactate infusion, up to 1000 cc 374 327 $316.39
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 14 12 $310.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 633 577 $286.56
84100 115 85 $232.54
J2765 Injection, metoclopramide hcl, up to 10 mg 297 280 $222.68
J1170 Injection, hydromorphone, up to 4 mg 128 95 $214.42
J2060 Injection, lorazepam, 2 mg 426 370 $214.15
84481 12 12 $209.20
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 264 211 $192.75
73090 13 13 $184.47
73502 18 14 $180.57
73590 12 12 $169.81
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 31 28 $161.70
82150 25 23 $151.90
87641 18 12 $126.18
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,880 1,811 $124.25
J2704 Injection, propofol, 10 mg 219 202 $116.11
76937 34 27 $104.32
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 273 242 $90.75
85014 27 27 $81.66
J2250 Injection, midazolam hydrochloride, per 1 mg 350 321 $77.64
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 82 76 $70.06
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 81 62 $61.56
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,249 1,105 $49.76
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 342 305 $49.01
J1650 Injection, enoxaparin sodium, 10 mg 19 13 $41.12
J8540 Dexamethasone, oral, 0.25 mg 13 13 $40.32
J7050 Infusion, normal saline solution, 250 cc 89 61 $9.14
G0463 Hospital outpatient clinic visit for assessment and management of a patient 26 14 $7.12
96376 908 702 $4.52
J1644 Injection, heparin sodium, per 1000 units 22 12 $3.60
77063 Screening digital breast tomosynthesis, bilateral 206 185 $0.00
A9270 Non-covered item or service 2,844 1,046 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27 27 $0.00
J7999 Compounded drug, not otherwise classified 18 16 $0.00
S0028 Injection, famotidine, 20 mg 69 64 $0.00
87400 13 13 $0.00