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    OpenPayerNPI Medicare & MedicaidBmh, Inc
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    Bmh, Inc — Billing Profile & Reimbursement Data

    NPI 1215398672 · Idaho Falls, ID · Family Medicine Physician

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    Bmh, Inc is a family medicine physician provider located in Idaho Falls, Idaho. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBmh, Inc
    Address1740 E 17th St
    CityIdaho Falls
    StateID
    ZIP83404
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 14, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$459.3K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…4,170$80$337.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,200$50$116.4K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.10$120$1.4K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…10$90$1.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$90$1.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.420$1$840
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…30$10$320
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.20$10$190
    83037The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…40$10$180
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…20$1$70

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Idaho median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…205670740$40$193.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…84620560$60$191.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…133140100$90$54.4K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…19922090$80$51.4K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.156180140$10$28.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.111210510$1$7K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…5970340$10$6.4K
    83037The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…51060$10$2.9K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.99100260$1$2.8K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.111030$40$2.8K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bmh, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bmh Inc.IDRural Health Clinic/Center$0$5.8M
    Ananda WalaliyaddaIDSpecialist$3.9M$0
    Bmh IncIDCritical Access Hospital$0$3.5M
    Bmh IncIDRural Health Clinic/Center$0$2.6M
    Bmh, Inc.IDSurgery Physician$0$2.3M
    Bmh, Inc.IDFamily Medicine Physician$0$864.1K
    Bmh, Inc.IDSports Medicine (Family Medicine) Physician$0$765.1K
    Bmh IncIDFamily Medicine Physician$0$546.8K
    William NibleyUTMedical Oncology Physician$166K$326K
    Gregory LittonUTMedical Oncology Physician$208.7K$225.7K

    Nearby Providers

    Other providers in the same ZIP code as Bmh, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain View Hospital LLCIDGeneral Acute Care Hospital$0$45.7M
    Eastern Idaho Health Services IncIDGeneral Acute Care Hospital$0$12.1M
    Rm Lab LLCIDClinical Medical Laboratory$1.1M$8.2M
    Medical Center For Children & Adolescents, PAIDPediatrics Physician$0$8.8M
    Aaa American Healthcare LLCIDMental Health Counselor$0$8.7M
    Intermountain Emergency PhysiciansIDEmergency Medicine Physician$0$6.6M
    24-7 Professional SolutionsIDIn Home Supportive Care Agency$0$5.9M
    Just 4 Kids Health LLCIDUrgent Care Clinic/Center$0$5.2M
    Foothills Rehabilitation & Performance Services, PLLCIDPhysical Therapist$0$5M
    Innovative Health Care Concepts, IncIDDevelopmental Disabilities Clinic/Center$0$4.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Idaho Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Bmh, Inc — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho