Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1215715669assigned 09/18/2023
28Total paid$170K
24GClaims2,198
24DCodes billed9
24AFirst – last monthJan 2024 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete2,198$170K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)