Hospital
Caribou Memorial Hospital
Caribou Memorial Hospital was paid $468K by Medicaid between Jan 2018 and Jul 2020, across 24 billing codes. Its largest line is 99284, emergency room visit (serious) — 53% of everything it billed.
33Billing provider infoCARIBOU MEMORIAL HOSPITAL
SODA SPRINGS, ID 83276
SODA SPRINGS, ID 83276
33aNPI1912998261assigned 11/03/2005
33bProvider typeCritical Access Hospital
28Total paid$468K
24GClaims7,533
24DCodes billed24
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Critical Access Hospital providers in Idaho
Rank by total paid#9 of 20
Median peer was paid$348K
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.
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 | 2,737 | $137K | |
| 2019 | 2,890 | $207K | |
| 2020 | 1,906 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 53% | 548 | 440 | $248K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 28% | 441 | 392 | $131K |
| 87631 | 4.6% | 188 | 187 | $22K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 2.5% | 211 | 73 | $12K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.4% | 387 | 129 | $11K |
| 80053 | Comprehensive metabolic panel | 1.8% | 1,041 | 884 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 1,226 | 1,022 | $8K |
| 87486 | 1.3% | 188 | 187 | $6K | |
| 87581 | 1.3% | 188 | 187 | $6K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 1.1% | 176 | 175 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,865 | 1,512 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 169 | 166 | $2K |
12 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 52 | $1K |
| 81000 | <1% | 495 | $1K | |
| 87077 | <1% | 192 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $600.34 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 25 | $171.48 |
| 80061 | Lipid panel | <1% | 13 | $133.92 |
| 87076 | <1% | 14 | $101.85 | |
| 84439 | <1% | 13 | $100.20 | |
| 87181 | <1% | 13 | $63.11 | |
| G0008 | Administration of influenza virus vaccine | <1% | 28 | $14.46 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 29 | $9.02 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 14 | $0.92 |
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 officialHOOPES, JOHN (CHIEF EXECUTIVE OFFICE)
Parent organizationCARIBOU MEMORIAL HOSPITAL AND LIVING CENTER
| Provider | Location | Paid |
|---|---|---|
| Caribou Memorial Hospital | Soda Springs, ID | $564K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.