IDAHO ENDOSCOPY CENTER LLC
NPI: 1043835713
· NAMPA, ID 83687
· Ambulatory Surgical Clinic/Center
· NPI assigned 06/09/2020
$717K
Total Medicaid Paid
Provider Details
| Authorized Official | MALLORY, MARK (MANAGER) |
| Parent Organization | IDAHO ENDOSCOPY CENTER LLC |
| NPI Enumeration Date | 06/09/2020 |
Related Entities
Other providers sharing the same authorized official: MALLORY, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
358 |
$94K |
| 2022 |
629 |
$165K |
| 2023 |
853 |
$231K |
| 2024 |
751 |
$227K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,255 |
1,222 |
$273K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
655 |
632 |
$237K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
477 |
461 |
$152K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
88 |
88 |
$28K |
| 43248 |
|
116 |
111 |
$27K |