Clinic
Kenneth C Romney MD INC
Kenneth C Romney MD INC was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoKENNETH C ROMNEY MD INC
TWIN FALLS, ID 83301
TWIN FALLS, ID 83301
33aNPI1982015822assigned 05/14/2014
33bProvider typeMedical Specialty Clinic/Center
28Total paid$1.14M
24GClaims21,162
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Idaho
Rank by total paid#1 of 6
Median peer was paid$274K
This provider vs. median4.2×
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 | 2,530 | $118K | |
| 2019 | 3,344 | $149K | |
| 2020 | 2,730 | $138K | |
| 2021 | 2,997 | $162K | |
| 2022 | 3,675 | $200K | |
| 2023 | 3,371 | $206K | |
| 2024incomplete | 2,515 | $169K |
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 | 53% | 9,366 | 8,475 | $608K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 1,957 | 1,720 | $171K |
| 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 | 7.8% | 967 | 913 | $89K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.4% | 1,982 | 1,897 | $84K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 790 | 788 | $80K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.7% | 1,696 | 1,689 | $42K |
| 90461 | 3.2% | 1,312 | 1,306 | $37K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 143 | 143 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 291 | 283 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 491 | 491 | $3K |
| 87428 | <1% | 33 | 33 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
20 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 79 | $1K |
| 90670 | <1% | 595 | $739.11 | |
| 90686 | <1% | 189 | $706.46 | |
| 86710 | <1% | 47 | $619.56 | |
| 90715 | <1% | 12 | $202.50 | |
| 87807 | <1% | 12 | $159.84 | |
| 36416 | <1% | 53 | $152.21 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $131.78 |
| 85018 | <1% | 39 | $79.46 | |
| 81002 | <1% | 12 | $34.43 | |
| 90698 | <1% | 331 | $1.86 | |
| 90680 | <1% | 245 | $0.46 | |
| 90744 | <1% | 43 | $0.41 | |
| 90633 | <1% | 41 | $0.15 | |
| 90671 | 0% | 124 | $0.00 | |
| 90685 | 0% | 48 | $0.00 | |
| 90710 | 0% | 28 | $0.00 | |
| 90677 | 0% | 88 | $0.00 | |
| 90697 | 0% | 41 | $0.00 | |
| 90688 | 0% | 82 | $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 officialROMNEY, KENNETH (OWNER)