Physician
Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.
Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A. was paid $2K by Medicaid between Oct 2023 and Oct 2023, across 1 billing code. Its largest line is 99215, doctor's office visit, returning patient (complex) — 100% of everything it billed.
33Billing provider infoIDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A.
BOISE, ID 83712
BOISE, ID 83712
33aNPI1184899973assigned 04/23/2008
33bProvider typePlastic Surgery Physician
28Total paid$2K
24GClaims12
24DCodes billed1
24AFirst – last monthOct 2023 – Oct 2023
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 12 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 100% | 12 | 12 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGRIFFITHS, RUSSELL (PRESIDENT)