Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY CARE WEST SIDE LLC

NPI: 1295009785 · IDAHO FALLS, ID 83402 · Family Medicine Physician · NPI assigned 02/29/2012

$297K
Total Medicaid Paid
4,207
Total Claims
4,120
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCVEY, HEATHER (OFFICE MANAGER)
NPI Enumeration Date02/29/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $1K
2019 23 $2K
2021 542 $35K
2022 1,331 $88K
2023 1,249 $90K
2024 1,049 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,186 2,133 $136K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 936 917 $85K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 856 854 $67K
87428 68 67 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 27 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 53 53 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 32 32 $431.52
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24 12 $327.80
36415 Collection of venous blood by venipuncture 25 25 $43.92