Table Rock Mobile Medicine PLLC

Table Rock Mobile Medicine PLLC was paid $27K by Medicaid between Oct 2020 and Dec 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoTABLE ROCK MOBILE MEDICINE PLLC
MERIDIAN, ID 83642

33aNPI1194186437assigned 03/15/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$27K

24GClaims729

24DCodes billed7

24AFirst – last monthOct 2020 – Dec 2022

Compared with peers

Next to other Family Nurse Practitioner providers in Idaho

Rank by total paid#11 of 32

Median peer was paid$20K

This provider vs. median1.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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
2020	66	$781.11
2021	247	$9K
2022	416	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	56%	272	215	$15K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	24%	223	136	$7K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	8.4%	28	13	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	5.8%	89	89	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.9%	12	12	$799.27
90688		1.5%	90	90	$410.80
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	1.5%	15	13	$409.20

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 officialBIGFORD, BRADLEY (SOLE MEMBER)