Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › COEUR D ALENE › HEAD SPORT EM LLC

HEAD SPORT EM LLC

NPI: 1194598102 · COEUR D ALENE, ID 83814 · Sports Medicine (Family Medicine) Physician · NPI assigned 11/01/2023

$9K
Total Medicaid Paid
70
Total Claims
67
Beneficiaries
1
Codes Billed
2024-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPANOS, CRAIG (OWNER)
NPI Enumeration Date11/01/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 70 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 70 67 $9K