Medicaid Provider Spending

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

NORTH IDAHO PAIN CENTER LLC

NPI: 1104896422 · COEUR D ALENE, ID 83814 · Ambulatory Surgical Clinic/Center · NPI assigned 01/26/2006

$44K
Total Medicaid Paid
520
Total Claims
426
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialBOTAI, TINA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date01/26/2006

Related Entities

Other providers sharing the same authorized official: BOTAI, TINA

ProviderCityStateTotal Paid
PAIN MANAGEMENT OF NORTH IDAHO, PLLC COEUR D ALENE ID $257K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 101 $19.14
2019 84 $39.15
2020 97 $15K
2021 135 $19K
2022 60 $8K
2023 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 178 115 $21K
62323 98 95 $14K
64493 24 13 $4K
64483 16 14 $4K
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 168 157 $48.72
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 17 17 $9.57
77002 19 15 $0.00