Medicaid Provider Spending

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

PORTNEUF VALLEY FAMILY CENTER

NPI: 1174629976 · POCATELLO, ID 83201 · Counselor · NPI assigned 09/16/2006

$1.35M
Total Medicaid Paid
22,826
Total Claims
11,696
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDE WALL, ROBERT (OWNER/ADMINISTRATOR)
NPI Enumeration Date09/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,258 $399K
2019 6,019 $380K
2020 5,886 $327K
2021 13 $40.58
2022 70 $327.52
2023 15 $293.76
2024 3,565 $244K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 4,786 1,031 $457K
90834 Psychotherapy, 45 minutes with patient 6,456 2,678 $376K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,109 2,879 $181K
H0038 Self-help/peer services, per 15 minutes 890 272 $82K
T1017 Targeted case management, each 15 minutes 1,722 784 $78K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 879 811 $42K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,671 1,571 $33K
96101 250 111 $28K
T1014 Telehealth transmission, per minute, professional services bill separately 803 308 $16K
90791 Psychiatric diagnostic evaluation 161 152 $15K
90847 Family psychotherapy with the patient present, 50 minutes 149 91 $12K
T1016 Case management, each 15 minutes 224 108 $12K
H0031 Mental health assessment, by non-physician 85 76 $6K
90785 1,422 706 $5K
99205 Prolong outpt/office vis 38 38 $5K
T2002 Non-emergency transportation; per diem 136 46 $2K
H0032 Mental health service plan development by non-physician 45 34 $1K