EDEN HOME HEALTH OF IDAHO FALLS, LLC

NPI 1649683582, organization, Idaho Falls, ID, Home Health

Evidence tier

network structure with a list link

Part of provider network D1-00079, ranked 79 nationally.

score 60 of 100, rank 2356, $0 at stake

Provider networks

D1-00079 ranked 79

29 providers around Reno, NV: 13 hospices, 12 home health agencies, 4 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	EDEN HOME HEALTH OF IDAHO FALLS, LLC (also EDEN HOME HEALTH)
Type	Organization
Status	Active
NPI issued	June 9, 2014, last updated February 10, 2022
Practice location	2540 CHANNING WAY, Idaho Falls, ID 83404-7515, 208-523-1980
Mailing address	4601 NE 77TH AVE, SUITE 300, Vancouver, WA 98662-6729
Authorized official	MICHAEL MILLER (CFO and Assistant Manager)
Specialties	Nursing Care (251J00000X) Home Health Aide (374U00000X) Social Worker (104100000X) Physical Therapist (225100000X) Occupational Therapist (225X00000X) Speech-Language Pathologist, (235Z00000X) Home Health (251E00000X, primary, license HH-248 ID)

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
G0299	Direct skilled nursing by RN in home health or hospice each 15 min	$69K	80%	$210	$151 (top 5% from $742)	61st percentile
G0151	PT in home health or hospice setting each 15 min	$17K	20%	$254	$203 (top 5% from $565)	too few months to rank
Q5001	Medicaid service code	$0	0%	$0.00	$0.00 (top 5% from $3K)	too few months to rank

In this area

5 providers in Bonneville County, ID carry an indicator in the public record, with $10.1M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2.

tier	provider	at stake	why
3	EDEN HOSPICE AT IDAHO FALLS, LLC Idaho Falls, ID, ranked 4976	$0	Part of provider network D1-00079, ranked 79 nationally.
3	OAKSTONE HOSPICE LLC Idaho Falls, ID, ranked 5393	$0	Part of provider network D1-00098, ranked 98 nationally.
4	THOMAS TUELLER Idaho Falls, ID, ranked 8394	$5.3M	Hours beyond a day in 7 months, but with up to 1005 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
5	BRETT HAMPTON Idaho Falls, ID, ranked 9925	$2.9M	Medicaid dollars per patient on code H0005 ($580 per patient-month) sit in the top 5% of every provider billing that code.
5	STEVEN ORME Idaho Falls, ID, ranked 9978	$1.9M	Medicaid dollars per patient on code H0005 ($908 per patient-month) sit in the top 5% of every provider billing that code.

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

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

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