Medicaid Provider Spending

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

HIGH TIDE PSYCHIATRY, PLLC

NPI: 1023762119 · IDAHO FALLS, ID 83402 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 02/08/2022

$10K
Total Medicaid Paid
183
Total Claims
162
Beneficiaries
2
Codes Billed
2023-03
First Month
2024-06
Last Month

Provider Details

Authorized OfficialVAN SICKLE-BIRCH, AMBER (OWNER)
NPI Enumeration Date02/08/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 96 $4K
2024 87 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 99 88 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 84 74 $2K