IDAHO MODERN MEDICINE - PLLC
NPI: 1184255754
· POCATELLO, ID 83201
· Family Medicine Physician
· NPI assigned 01/31/2020
Provider Details
| Authorized Official | ANDERSON, MICHAEL (PHYSICIAN / OWNER) |
| NPI Enumeration Date | 01/31/2020 |
Related Entities
Other providers sharing the same authorized official: ANDERSON, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
447 |
$12K |
| 2022 |
1,426 |
$19K |
| 2023 |
145 |
$10K |
| 2024 |
15 |
$2K |
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 |
414 |
375 |
$33K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
237 |
200 |
$9K |
| 99497 |
|
17 |
14 |
$242.11 |
| 96127 |
|
28 |
27 |
$143.64 |
| 1036F |
|
230 |
215 |
$0.00 |
| 3074F |
|
79 |
73 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 99439 |
|
38 |
37 |
$0.00 |
| 1030F |
|
42 |
41 |
$0.00 |
| 1160F |
|
761 |
637 |
$0.00 |
| 99490 |
Ccm add 20min |
38 |
37 |
$0.00 |
| 3078F |
|
112 |
105 |
$0.00 |
| 1032F |
|
12 |
12 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |