Upper Valley Family Practice, PLLC

Upper Valley Family Practice, PLLC was paid $366K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoUPPER VALLEY FAMILY PRACTICE, PLLC
REXBURG, ID 83440

33aNPI1922237874assigned 07/13/2009

33bProvider typeFamily Medicine Physician

28Total paid$366K

24GClaims5,991

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Idaho

Rank by total paid#48 of 136

Median peer was paid$139K

This provider vs. median2.6×

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	692	$35K
2019	691	$37K
2020	996	$55K
2021	1,117	$61K
2022	1,126	$71K
2023	909	$69K
2024incomplete	460	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	57%	3,509	3,062	$207K
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%	1,932	1,692	$149K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.8%	46	42	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$1K
36415	Collection of venous blood by venipuncture	<1%	458	434	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	13	13	$212.19
90688		<1%	20	18	$198.70

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 officialHOPKIN, JEFFREY (OWNER/ PHYSICAN)