ZACHARIAH JON JENSEN, DO

NPI 1184128175, individual, Boise, ID, Neuromusculoskeletal Medicine & OMM

Evidence tier

structure or single-organization volume

Hours beyond a day in 2 months under one organization, which can be supervisory billing.
Records needed.

score 50 of 100, rank 9412, $252K at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Mar 2024	More hours than a day holds, even counting one unit per claim line	29.6	56.4	37.6	55.5	101	1	99223 99233 99238	$88K
Jun 2024	More hours than a day holds, even counting one unit per claim line	24.5	48.1	32.1	48.1	55	1	99223 99233	$72K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ZACHARIAH JON JENSEN, DO
Type	Individual
Status	Active
NPI issued	March 22, 2018, last updated June 18, 2026
Practice location	711 N CURTIS RD, Boise, ID 83706-1445, 208-605-3000
Mailing address	PO BOX 8111, Boise, ID 83707-2111
Specialties	Neuromusculoskeletal Medicine & OMM (204D00000X, license 174114 MT) Neuromusculoskeletal Medicine & OMM (204D00000X, license 0102205792 VA) Specialist (174400000X, license 12884 SD) Physical Medicine & Rehabilitation (208100000X, license O-1779 ID) Neuromusculoskeletal Medicine & OMM (204D00000X, primary, license 12884 SD)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	$248K	91%	$2K	$96 (top 5% from $249)	100th percentile
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	$16K	6%	$152	$81 (top 5% from $170)	too few months to rank
99238	Hospital discharge day management, 30 minutes or less	$5K	2%	$81	$48 (top 5% from $80)	too few months to rank
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	$2K	1%	$167	$67 (top 5% from $174)	too few months to rank

Medicare Part B 2024, largest codes

code	what it is	services	beneficiaries	paid	submitted per service	allowed per service	charge to allowed	usual for this code
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	720	156	$44K	$203	$75	2.7x	2.6x (90th percentile 4.3x)
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	409	129	$37K	$307	$114	2.7x	2.6x (90th percentile 4.7x)
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	163	147	$22K	$437	$166	2.6x	3.0x (90th percentile 5.6x)
99238	Hospital discharge day management, 30 minutes or less	148	137	$9K	$208	$77	2.7x	2.6x (90th percentile 4.7x)
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	156	37	$6K	$123	$47	2.6x	2.4x (90th percentile 4.0x)
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	111	41	$3K	$75	$29	2.6x	3.3x (90th percentile 6.3x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

10 providers in Ada County, ID carry an indicator in the public record, with $12.8M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 3.

tier	provider	at stake	why
3	LIGHTHOUSE HOSPICE LLC Meridian, ID, ranked 2269	$0	Part of provider network D1-00023, ranked 23 nationally.
3	FIRST CHOICE HOME CARE, INC. Boise, ID, ranked 4162	$0	Part of provider network D1-00077, ranked 77 nationally.
3	A BETTER WAY HOME, LLC Boise, ID, ranked 5407	$0	Part of provider network D1-00077, ranked 77 nationally.
5	BRIAN RAYMOND Star, ID, ranked 9899	$4.5M	Medicaid dollars per patient on code T1013 ($549 per patient-month) sit in the top 5% of every provider billing that code.
5	TYE KILLIAN Boise, ID, ranked 9957	$2.2M	Medicaid dollars per patient on code T1013 ($426 per patient-month) sit in the top 5% of every provider billing that code.
5	MAI PROVENCIO Boise, ID, ranked 9988	$1.8M	Medicaid dollars per patient on code T1013 ($381 per patient-month) sit in the top 5% of every provider billing that code.
5	TAMI JONES Boise, ID, ranked 10034	$1.5M	Medicaid dollars per patient on code T1013 ($369 per patient-month) sit in the top 5% of every provider billing that code.
5	ROSALIE LYNCH Eagle, ID, ranked 10128	$909K	Medicaid dollars per patient on code T1013 ($523 per patient-month) sit in the top 5% of every provider billing that code.

All 10 in ID

Recent enforcement in ID

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementOct 29, 2024

Boise Health Care Company and Former Therapist Resolve Fraudulent Psychotherapy Billing Allegations Involving Vulnerable Refugee Population

KA Health Services and its owner paid $321,576.51 to resolve allegations they submitted false Medicaid claims for psychotherapy, language interpretation, and other services that were never provided or not provided by a qualified professional, and a former counselor consented to a $40,000 judgment after admitting she directed unqualified interpreters to meet with refugee clients and signed false medical records.

DOJCivil settlementApr 3, 2024

Pocatello Doctor Pays $96,000 to Settle Allegations That He Wrote Unlawful Prescriptions

The government alleged that Knouf wrote prescriptions for controlled substances that lacked a legitimate medical purpose and/or were issued outside the usual course of professional practice, prescribed dangerous combinations of drugs, and billed Medicare and Medicaid for services that were not performed.

DOJCivil judgmentJan 17, 2024

AmeriHealth Clinics Consent to a $2 Million Judgment to Resolve Healthcare Fraud Allegations

AmeriHealth and its owners hired vulnerable, compromised, and inexperienced medical staff who were pressured into providing unnecessary and worthless care, resulting in false claims to federal health care programs, and also allegedly pressured practitioners to prescribe controlled substances, entered a kickback scheme with a third-party laboratory, and falsely certified information to obtain PPP loan forgiveness.

Referral packet

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