East Idaho Orthopaedics, PLLC

East Idaho Orthopaedics, PLLC was paid $523K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoEAST IDAHO ORTHOPAEDICS, PLLC
IDAHO FALLS, ID 83404

33aNPI1144413154assigned 08/22/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$523K

24GClaims7,183

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Idaho

Rank by total paid#1 of 17

Median peer was paid$8K

This provider vs. median67×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	625	$40K
2019	781	$54K
2020	1,119	$88K
2021	1,074	$76K
2022	1,269	$96K
2023	1,410	$103K
2024incomplete	905	$66K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	44%	3,084	2,916	$230K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	2,032	1,935	$120K
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	17%	765	763	$88K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	886	877	$72K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	235	228	$9K
20610		<1%	105	94	$4K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	47	46	$446.70
73100		<1%	14	12	$341.26
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	15	15	$37.69

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 officialLILJENQUIST, JOSEPH (PRESIDENT)