Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Shoshone › NPI 1972673218
Clinic

Keith E Davis

Keith E Davis was paid $957K by Medicaid between Jan 2018 and Jul 2022, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.

33Billing provider infoKEITH E DAVIS
SHOSHONE, ID 83352
33aNPI1972673218assigned 11/08/2006
28Total paid$957K
24GClaims18,033
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Rural Health Clinic/Center providers in Idaho

Rank by total paid#9 of 21
Median peer was paid$856K
This provider vs. median1.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,255$242K
20194,398$240K
20203,392$206K
20213,354$178K
20221,634$90K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 98% 12,074 9,161 $940K
99308 Subsequent nursing facility care, per day, straightforward <1% 376 255 $4K
99335 <1% 339 196 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 3,629 3,187 $3K
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 <1% 1,037 900 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 206 201 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 65 46 $922.56
90688 <1% 82 82 $96.05
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 57 52 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 0% 122 122 $0.00
86328 0% 18 18 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 28 28 $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 officialDAVIS, KEITH (OWNER)