Medicaid Provider Spending

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

CALDWELL IMMEDIATE CARE

NPI: 1154709863 · TWIN FALLS, ID 83301 · Clinic/Center · NPI assigned 05/13/2015

$444K
Total Medicaid Paid
6,920
Total Claims
6,138
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPITTARD, JONATHAN (OWNER/PROVIDER)
NPI Enumeration Date05/13/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 887 $57K
2019 592 $42K
2020 1,078 $79K
2021 1,122 $51K
2022 1,282 $74K
2023 1,117 $82K
2024 842 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,839 3,403 $226K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,150 1,855 $179K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 310 294 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 63 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 92 87 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 19 18 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 52 48 $642.39
36415 Collection of venous blood by venipuncture 188 176 $485.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $188.04
90756 15 14 $125.50
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 83 82 $0.00
99000 96 86 $0.00