Idaho Sports & Spine PLLC

Idaho Sports & Spine PLLC was paid $96K by Medicaid between Jan 2018 and Jun 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoIDAHO SPORTS & SPINE PLLC
POCATELLO, ID 83201

33aNPI1033417035assigned 03/01/2011

33bProvider typeSports Medicine (Family Medicine) Physician

28Total paid$96K

24GClaims2,336

24DCodes billed10

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Sports Medicine (Family Medicine) Physician providers in Idaho

Rank by total paid#2 of 5

Median peer was paid$12K

This provider vs. median7.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	385	$7K
2019	149	$3K
2020	584	$30K
2021	541	$24K
2022	366	$19K
2023	227	$9K
2024incomplete	84	$4K

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	50%	1,109	1,038	$48K
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	27%	352	327	$26K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	100	95	$12K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.3%	51	51	$6K
64483		4.3%	25	24	$4K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	369	332	$475.51
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	226	211	$68.60
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	18	15	$2.21
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	43	38	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	43	39	$0.00

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 officialHANSEN, STEPHEN (OWNER)