Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › BOISE › RIVERSIDE PRIMARY CARE ADULT AND GERIATRIC MEDICINE PLLLP

RIVERSIDE PRIMARY CARE ADULT AND GERIATRIC MEDICINE PLLLP

NPI: 1003693961 · BOISE, ID 83702 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 09/13/2023

$3K
Total Medicaid Paid
72
Total Claims
31
Beneficiaries
1
Codes Billed
2024-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLONG, JESSICA (CO-OWNER)
NPI Enumeration Date09/13/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 72 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 72 31 $3K