Physician
Gem State Ent, PLLC
Gem State Ent, PLLC was paid $170K by Medicaid between Jan 2024 and Dec 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 39% of everything it billed.
33Billing provider infoGEM STATE ENT, PLLC
TWIN FALLS, ID 83301
TWIN FALLS, ID 83301
33aNPI1215715669assigned 09/18/2023
33bProvider typeGeneral Practice Physician
28Total paid$170K
24GClaims2,198
24DCodes billed9
24AFirst – last monthJan 2024 – Dec 2024
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 | |
|---|---|---|---|
| 2024incomplete | 2,198 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 39% | 530 | 527 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 659 | 636 | $41K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 18% | 143 | 142 | $31K |
| 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 | 7.6% | 147 | 140 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 91 | 90 | $8K |
| 92567 | 3.2% | 422 | 417 | $5K | |
| 92557 | 2.1% | 128 | 127 | $4K | |
| 92579 | <1% | 39 | 39 | $1K | |
| 92587 | <1% | 39 | 39 | $654.32 |
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 officialFREIDENBERGER, BROOKE (MEDICAL CODER)