NORTH IDAHO DAY SURGERY LLC
NPI: 1104824739
· POST FALLS, ID 83854
· 261QM1300X
$1.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,149 |
$179K |
| 2019 |
3,675 |
$178K |
| 2020 |
3,194 |
$172K |
| 2021 |
2,613 |
$94K |
| 2022 |
3,789 |
$183K |
| 2023 |
3,967 |
$190K |
| 2024 |
4,957 |
$221K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
9,520 |
9,051 |
$489K |
| G0463 |
Hospital outpt clinic visit |
10,239 |
8,616 |
$398K |
| 99214 |
|
2,927 |
2,741 |
$149K |
| 99203 |
|
1,425 |
1,416 |
$119K |
| 99204 |
|
127 |
127 |
$11K |
| 43239 |
|
29 |
27 |
$8K |
| 72148 |
|
94 |
90 |
$7K |
| 74177 |
|
47 |
43 |
$5K |
| 93005 |
|
256 |
241 |
$4K |
| 99215 |
Prolong outpt/office vis |
37 |
37 |
$4K |
| G2211 |
Complex e/m visit add on |
224 |
215 |
$3K |
| 99391 |
|
45 |
39 |
$3K |
| 99173 |
|
155 |
153 |
$3K |
| 73721 |
|
26 |
26 |
$3K |
| 99202 |
|
37 |
37 |
$2K |
| 99393 |
|
28 |
28 |
$2K |
| 71046 |
|
200 |
188 |
$2K |
| 99392 |
|
12 |
12 |
$1K |
| 74240 |
|
13 |
13 |
$705.87 |
| 90674 |
|
49 |
48 |
$509.54 |
| 87880 |
|
30 |
30 |
$416.64 |
| 99212 |
|
13 |
13 |
$407.42 |
| 96372 |
|
12 |
12 |
$268.10 |
| G0008 |
Admin influenza virus vac |
32 |
30 |
$212.94 |
| 96127 |
|
44 |
41 |
$193.07 |
| 81003 |
|
13 |
13 |
$29.67 |
| 99177 |
|
80 |
79 |
$8.94 |
| J1100 |
Dexamethasone sodium phos |
42 |
39 |
$1.65 |
| J2405 |
Ondansetron hcl injection |
17 |
16 |
$1.28 |
| J2704 |
Inj, propofol, 10 mg |
15 |
12 |
$0.00 |
| 3008F |
|
300 |
292 |
$0.00 |
| 1160F |
|
54 |
54 |
$0.00 |
| 1159F |
|
202 |
196 |
$0.00 |