Medicaid Provider Spending

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

UPPER VALLEY FAMILY MEDICINE PLLC

NPI: 1073697884 · RIGBY, ID 83442 · Family Medicine Physician · NPI assigned 10/25/2006

$1.92M
Total Medicaid Paid
47,764
Total Claims
44,382
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERRETT, DARIN (OFFICE MANAGER)
NPI Enumeration Date10/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,011 $274K
2019 6,303 $241K
2020 6,216 $260K
2021 7,939 $312K
2022 8,665 $359K
2023 5,964 $260K
2024 4,666 $209K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,766 14,962 $1.45M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,142 19,504 $273K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,262 2,941 $136K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 210 197 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,879 1,764 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 549 507 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 75 71 $6K
36415 Collection of venous blood by venipuncture 3,225 2,958 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 41 41 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 39 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 152 146 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 279 239 $2K
83037 233 224 $2K
80053 Comprehensive metabolic panel 169 164 $1K
90472 Immunization administration, each additional vaccine (list separately) 14 14 $326.16
90686 72 72 $262.74
81001 133 123 $170.46
84443 Thyroid stimulating hormone (TSH) 12 12 $166.32
90756 39 39 $126.26
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 319 251 $19.34
J0696 Injection, ceftriaxone sodium, per 250 mg 17 12 $4.04
90655 31 29 $0.05
G8783 Normal blood pressure reading documented, follow-up not required 23 14 $0.00
1036F 64 47 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 19 12 $0.00