IDAHO SKIN INSTITUTE LLC
NPI: 1184375867
· CHUBBUCK, ID 83202
· Dermatology Physician
· NPI assigned 01/13/2022
$290K
Total Medicaid Paid
Provider Details
| Authorized Official | STODDARD, EARL (OWNER) |
| NPI Enumeration Date | 01/13/2022 |
Related Entities
Other providers sharing the same authorized official: STODDARD, EARL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
847 |
$61K |
| 2023 |
1,680 |
$113K |
| 2024 |
1,540 |
$116K |
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 |
1,447 |
1,411 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,819 |
1,752 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
519 |
515 |
$43K |
| 17110 |
|
24 |
24 |
$2K |
| 81025 |
|
232 |
223 |
$2K |
| 11102 |
|
26 |
25 |
$1K |