DOCTORS CLINIC OF ELMORE COUNTY PLLC
NPI: 1063578664
· MOUNTAIN HOME, ID 83647
· 363A00000X
$165K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
616 |
$28K |
| 2019 |
548 |
$26K |
| 2020 |
475 |
$31K |
| 2021 |
379 |
$21K |
| 2022 |
346 |
$20K |
| 2023 |
324 |
$21K |
| 2024 |
281 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,853 |
1,669 |
$127K |
| 99213 |
|
568 |
505 |
$28K |
| 99215 |
Prolong outpt/office vis |
85 |
74 |
$8K |
| 36415 |
|
393 |
367 |
$1K |
| 90674 |
|
42 |
40 |
$604.23 |
| 90471 |
|
28 |
27 |
$540.12 |