FAMILY MEDICINE HUB PLLC
NPI: 1134620107
· IDAHO FALLS, ID 83404
· Nurse Practitioner
· NPI assigned 02/26/2018
$300K
Total Medicaid Paid
Provider Details
| Authorized Official | CAMERON, SHELLY (PRACTICE MANAGER) |
| NPI Enumeration Date | 02/26/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
63 |
$3K |
| 2019 |
413 |
$21K |
| 2020 |
745 |
$41K |
| 2021 |
1,251 |
$69K |
| 2022 |
1,318 |
$81K |
| 2023 |
654 |
$40K |
| 2024 |
935 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,187 |
2,005 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,637 |
2,462 |
$141K |
| 99497 |
|
41 |
40 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 96127 |
|
416 |
386 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
37 |
$594.13 |
| 0012A |
|
12 |
12 |
$400.00 |
| 0011A |
|
12 |
12 |
$281.39 |
| 91301 |
|
19 |
19 |
$0.00 |