Idaho
#45 in Medicaid spending (0.32% of national total)
Total Spending
$3.55B
Total Claims
63.1M
Providers
3,321
Avg Cost/Claim
$56
Data Coverage Note: Idaho has 93% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 7% of enrollees). Actual total Medicaid spending in Idaho is significantly higher than shown.
Enrollment (Latest)
380K
Managed Care
93%
ACA Expansion
Yes (2020)
FFS $/Enrollee
$1,417
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
RISE, INC Social Worker | $263.8M |
PROGRESSIVE BEHAVIOR SYSTEMS, PA Day Training, Developmentally Disabled Services | $85.8M |
HOMESTYLE DIRECT LLC. Nutritionist | $65.0M |
ST LUKES CLINIC-TREASURE VALLEY LLC Urology | $59.3M |
FULL CIRCLE HEALTH, INC. Clinic/Center | $53.3M |
MOUNTAIN VIEW HOSPITAL LLC Internal Medicine | $45.7M |
NORCO, INC. Durable Medical Equipment & Medical Supplies | $41.0M |
ST LUKE'S CLINIC LLC Internal Medicine | $39.5M |
ROYAL JOURNEYS LLC Clinic/Center | $38.4M |
COMMUNITY HEALTH CLINICS, INC. Clinic/Center | $37.7M |
JOINT SCHOOL DISTRICT NO. 2 Local Education Agency (LEA) | $34.2M |
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC Pediatrics | $32.6M |
HOME REACH In Home Supportive Care | $31.9M |
RES-CARE WASHINGTON, INC Home Health | $31.6M |
COMMUNITY CONNECTIONS, INC Day Training, Developmentally Disabled Services | $30.0M |
CHILDREN'S THERAPY PLACE, INC. Speech-Language Pathologist | $30.0M |
A NEW LEAF, INC. Day Training, Developmentally Disabled Services | $29.5M |
ALTERNATIVE NURSING SERVICES, INC. Non-emergency Medical Transport (VAN) | $29.2M |
BONNEVILLE SCHOOL DIST #93 Speech-Language Pathologist | $27.5M |
BENEWAH MEDICAL CENTER Clinic/Center | $25.5M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T1015 | Clinic service | $380.4M |
| H0004 | Alcohol and/or drug services | $255.5M |
| T1019 | Personal care ser per 15 min | $202.7M |
| 99213 | Office o/p est low 20 min | $129.5M |
| H2022 | Com wrap-around sv, per diem | $124.7M |
| 99214 | Office o/p est mod 30 min | $118.6M |
| 97530 | Therapeutic activities | $109.8M |
| H2016 | Comp comm supp svc, per diem | $107.4M |
| T2016 | Habil res waiver per diem | $105.5M |
| S5125 | Attendant care service /15m | $102.1M |
| H2017 | Psysoc rehab svc, per 15 min | $85.5M |
| 92507 | Tx sp lang voice comm indiv | $81.7M |
| 90834 | Psytx w pt 45 minutes | $72.0M |
| H2032 | Activity therapy, per 15 min | $65.5M |
| S5170 | Homedelivered prepared meal | $64.5M |
| H0038 | Self-help/peer svc per 15min | $49.8M |
| D0999 | Unspecified diagnostic proce | $48.4M |
| 97537 | Community/work reintegration | $47.8M |
| 96152 | (no description) | $44.4M |
| S5130 | Homaker service nos per 15m | $41.4M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $591.1M | 373 |
| Social Worker | $304.0M | 104 |
| Day Training, Developmentally Disabled Services | $302.0M | 45 |
| Local Education Agency (LEA) | $204.7M | 103 |
| Counselor | $168.3M | 218 |
| Dentist | $160.3M | 370 |
| In Home Supportive Care | $133.5M | 37 |
| Family Medicine | $132.8M | 153 |
| Community/Behavioral Health | $113.1M | 90 |
| Pediatrics | $103.4M | 30 |
| Durable Medical Equipment & Medical Supplies | $102.9M | 155 |
| Internal Medicine | $98.2M | 55 |
| Speech-Language Pathologist | $96.7M | 52 |
| Home Health | $89.2M | 47 |
| General Acute Care Hospital | $65.9M | 33 |
| Occupational Therapist | $65.3M | 51 |
| Nutritionist | $65.0M | 1 |
| Case Management | $59.6M | 51 |
| Urology | $59.6M | 5 |
| Ambulance | $54.1M | 48 |