Physician
Upper Valley Ent & Allergy PLLC
Upper Valley Ent & Allergy PLLC was paid $401K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 47% of everything it billed.
33Billing provider infoUPPER VALLEY ENT & ALLERGY PLLC
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1124462494assigned 04/17/2013
33bProvider typeAllergy Physician
28Total paid$401K
24GClaims7,921
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,843 | $63K | |
| 2019 | 1,319 | $61K | |
| 2020 | 854 | $44K | |
| 2021 | 932 | $56K | |
| 2022 | 1,408 | $75K | |
| 2023 | 1,030 | $65K | |
| 2024incomplete | 535 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 47% | 2,204 | 2,187 | $189K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 2,560 | 2,378 | $140K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 1,432 | 1,401 | $49K |
| 92567 | 2.0% | 820 | 786 | $8K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 25 | 25 | $5K |
| 95117 | 1.2% | 855 | 332 | $5K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 12 | 12 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 13 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCMASTER, JAY (PHYSICIAN/SURGEON)
| Provider | Location | Paid |
|---|---|---|
| Upper Valley Surgery Center | Rexburg, ID | $377K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.