Physician
Idaho Allergy & Asthma Clinic PA
Idaho Allergy & Asthma Clinic PA was paid $650K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoIDAHO ALLERGY & ASTHMA CLINIC PA
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1003949298assigned 03/14/2007
33bProvider typeAllergy & Immunology Physician
28Total paid$650K
24GClaims20,992
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,293 | $72K | |
| 2019 | 2,536 | $77K | |
| 2020 | 2,931 | $102K | |
| 2021 | 3,135 | $73K | |
| 2022 | 3,406 | $130K | |
| 2023 | 3,492 | $113K | |
| 2024incomplete | 3,199 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 3,560 | 3,439 | $233K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 29% | 1,138 | 1,091 | $187K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 885 | 878 | $79K |
| 95115 | 12% | 11,706 | 4,964 | $77K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.5% | 224 | 222 | $23K |
| 95117 | 3.5% | 2,746 | 1,177 | $22K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 2.1% | 88 | 87 | $13K |
| 94010 | <1% | 196 | 195 | $5K | |
| 99457 | <1% | 116 | 116 | $4K | |
| 95024 | <1% | 26 | 26 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 134 | 83 | $1K |
| 99458 | <1% | 27 | 27 | $962.71 |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPETTY, WENDELL (PRESIDENT)