Clinic
Upper Valley Community Health Services INC
Upper Valley Community Health Services INC was paid $17K by Medicaid between Aug 2024 and Oct 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoUPPER VALLEY COMMUNITY HEALTH SERVICES INC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1932961810assigned 01/26/2024
33bProvider typeUrgent Care Clinic/Center
28Total paid$17K
24GClaims259
24DCodes billed6
24AFirst – last monthAug 2024 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Idaho
Rank by total paid#13 of 16
Median peer was paid$394K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 259 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 79 | 65 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 29 | 25 | $0.00 |
| 3074F | 0% | 32 | 30 | $0.00 | |
| 3078F | 0% | 29 | 26 | $0.00 | |
| 1159F | 0% | 45 | 37 | $0.00 | |
| 1160F | 0% | 45 | 37 | $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 officialSESSIONS, LORI (CEO)
| Provider | Location | Paid |
|---|---|---|
| Upper Valley Community Health Services INC | Rexburg, ID | $7.64M |
| Upper Valley Community Health Services INC | Saint Anthony, ID | $4.88M |
| Upper Valley Community Health Services INC | Saint Anthony, ID | $1.98M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.