PORTNEUF VALLEY FAMILY CENTER
NPI: 1174629976
· POCATELLO, ID 83201
· 101Y00000X
$1.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
4,786 |
1,031 |
$457K |
| 90834 |
|
6,456 |
2,678 |
$376K |
| 99214 |
|
3,109 |
2,879 |
$181K |
| H0038 |
Self-help/peer svc per 15min |
890 |
272 |
$82K |
| T1017 |
Targeted case management |
1,722 |
784 |
$78K |
| 99213 |
|
879 |
811 |
$42K |
| 90833 |
|
1,671 |
1,571 |
$33K |
| 96101 |
|
250 |
111 |
$28K |
| T1014 |
Telehealth transmit, per min |
803 |
308 |
$16K |
| 90791 |
|
161 |
152 |
$15K |
| 90847 |
|
149 |
91 |
$12K |
| T1016 |
Case management |
224 |
108 |
$12K |
| H0031 |
Mh health assess by non-md |
85 |
76 |
$6K |
| 90785 |
|
1,422 |
706 |
$5K |
| 99205 |
Prolong outpt/office vis |
38 |
38 |
$5K |
| T2002 |
N-et; per diem |
136 |
46 |
$2K |
| H0032 |
Mh svc plan dev by non-md |
45 |
34 |
$1K |