MAGIC VALLEY PAIN SPECIALISTS, PLLC
NPI: 1003564998
· BURLEY, ID 83318
· Pain Medicine (Anesthesiology) Physician
· NPI assigned 03/10/2022
$129K
Total Medicaid Paid
Provider Details
| Authorized Official | ROE, TYLER (OWNER) |
| NPI Enumeration Date | 03/10/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
161 |
$9K |
| 2023 |
1,183 |
$65K |
| 2024 |
1,106 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,385 |
1,318 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
303 |
$27K |
| 76942 |
|
368 |
324 |
$15K |
| 20553 |
|
141 |
111 |
$5K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
145 |
129 |
$96.02 |
| J3490 |
Unclassified drugs |
97 |
89 |
$20.40 |