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 · 207Q00000X

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

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 2,186 2,133 $136K
99214 936 917 $85K
99203 856 854 $67K
87428 68 67 $4K
99204 27 27 $2K
87426 53 53 $2K
87880 32 32 $431.52
87804 24 12 $327.80
36415 25 25 $43.92