Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

IDAHO ALLERGY & ASTHMA CLINIC PA

NPI: 1003949298 · IDAHO FALLS, ID 83404 · Allergy & Immunology Physician · NPI assigned 03/14/2007

$650K
Total Medicaid Paid
20,992
Total Claims
12,445
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETTY, WENDELL (PRESIDENT)
NPI Enumeration Date03/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,199 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,560 3,439 $233K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,138 1,091 $187K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 885 878 $79K
95115 11,706 4,964 $77K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 224 222 $23K
95117 2,746 1,177 $22K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 88 87 $13K
94010 196 195 $5K
99457 116 116 $4K
95024 26 26 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 134 83 $1K
99458 27 27 $962.71
96401 16 12 $861.56
G9521 Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months 73 72 $5.45
G9432 Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented 57 56 $5.45