Medicaid Provider Spending

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

DOCTORS CLINIC OF ELMORE COUNTY PLLC

NPI: 1063578664 · MOUNTAIN HOME, ID 83647 · Physician Assistant · NPI assigned 12/28/2006

$165K
Total Medicaid Paid
2,969
Total Claims
2,682
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBERTS, LAYNE (PHYSICIAN)
NPI Enumeration Date12/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 616 $28K
2019 548 $26K
2020 475 $31K
2021 379 $21K
2022 346 $20K
2023 324 $21K
2024 281 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,853 1,669 $127K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 568 505 $28K
99215 Prolong outpt/office vis 85 74 $8K
36415 Collection of venous blood by venipuncture 393 367 $1K
90674 42 40 $604.23
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 27 $540.12