Physician
Optimum Health, PLLC
Optimum Health, PLLC was paid $238K by Medicaid between Jun 2019 and Dec 2024, across 17 billing codes. Its largest line is 99349, — 47% of everything it billed.
33Billing provider infoOPTIMUM HEALTH, PLLC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1306401575assigned 05/03/2019
33bProvider typeEmergency Medicine Physician
28Total paid$238K
24GClaims7,067
24DCodes billed17
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Idaho
Rank by total paid#13 of 26
Median peer was paid$143K
This provider vs. median1.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2019 | 152 | $2K | |
| 2022 | 335 | $5K | |
| 2023 | 2,600 | $89K | |
| 2024incomplete | 3,980 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 47% | 2,183 | 1,276 | $112K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 26% | 1,865 | 967 | $62K |
| 99310 | Prolong nursin fac eval 15m | 21% | 792 | 321 | $51K |
| 99348 | 1.3% | 91 | 66 | $3K | |
| 99335 | 1.2% | 100 | 85 | $3K | |
| 11721 | <1% | 409 | 352 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 97 | 82 | $1K |
| 99344 | <1% | 23 | 22 | $1K | |
| 99305 | <1% | 13 | 13 | $1K | |
| 99347 | <1% | 35 | 32 | $663.04 | |
| 99336 | <1% | 15 | 12 | $361.12 | |
| 99497 | <1% | 19 | 14 | $220.08 |
5 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 58 | $116.78 |
| 11056 | <1% | 20 | $110.57 | |
| 99490 | Ccm add 20min | <1% | 998 | $43.27 |
| 99439 | <1% | 334 | $24.24 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 15 | $0.00 |
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 officialFRANCIS, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Neuroscience Consultants, PLC | Reston, VA | $188K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.