Medicaid Provider Spending

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

OPTIMUM HEALTH, PLLC

NPI: 1306401575 · POCATELLO, ID 83201 · Emergency Medicine Physician · NPI assigned 05/03/2019

$238K
Total Medicaid Paid
7,067
Total Claims
4,528
Beneficiaries
17
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRANCIS, DAVID (OWNER)
NPI Enumeration Date05/03/2019

Related Entities

Other providers sharing the same authorized official: FRANCIS, DAVID

ProviderCityStateTotal Paid
NEUROSCIENCE CONSULTANTS, PLC RESTON VA $188K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 152 $2K
2022 335 $5K
2023 2,600 $89K
2024 3,980 $141K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 2,183 1,276 $112K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,865 967 $62K
99310 Prolong nursin fac eval 15m 792 321 $51K
99348 91 66 $3K
99335 100 85 $3K
11721 409 352 $1K
99308 Subsequent nursing facility care, per day, straightforward 97 82 $1K
99344 23 22 $1K
99305 13 13 $1K
99347 35 32 $663.04
99336 15 12 $361.12
99497 19 14 $220.08
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 58 44 $116.78
11056 20 12 $110.57
99490 Ccm add 20min 998 919 $43.27
99439 334 298 $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) 15 13 $0.00