PHS AMBULATORY SERVICES LLC

NPI: 1306524152 · POCATELLO, ID 83201 · Urgent Care Clinic/Center · NPI assigned 07/10/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more

$11K

Total Medicaid Paid

149

Total Claims

146

Beneficiaries

Codes Billed

2024-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	PETROVICH, STEPHEN (EVP GENERAL COUNSEL)
Parent Organization	POCATELLO HEALTH SYSTEM, LLC
NPI Enumeration Date	07/10/2023

Other providers sharing the same authorized official: PETROVICH, STEPHEN

Provider	City	State	Total Paid
LOVELACE HEALTH SYSTEM, LLC	ALBUQUERQUE	NM	$57.71M
LOVELACE HEALTH SYSTEM LLC	ALBUQUERQUE	NM	$45.27M
SOUTHWEST MEDICAL ASSOCIATES, LLC	ALBUQUERQUE	NM	$41.40M
LOVELACE HEALTH SYSTEM, LLC	ALBUQUERQUE	NM	$31.24M
LOVELACE HEALTH SYSTEM LLC	ROSWELL	NM	$20.13M
JACKSONVILLE HOSPITAL LLC	JACKSONVILLE	TX	$9.41M
HENDERSON HOSPITAL, LLC	HENDERSON	TX	$8.52M
ATHENS HOSPITAL, LLC	ATHENS	TX	$8.32M
ETMC PHYSICIAN GROUP INC.	TYLER	TX	$8.03M
TYLER REGIONAL HOSPITAL LLC	TYLER	TX	$7.94M
LOVELACE UNM REHABILITATION HOSPITAL LLC	ALBUQUERQUE	NM	$6.30M
POCATELLO HOSPITAL LLC	POCATELLO	ID	$6.11M
JACKSONVILLE HOSPITAL LLC	JACKSONVILLE	TX	$5.93M
AHS PRYOR HOSPITAL, LLC	PRYOR	OK	$5.61M
BSA HOSPITAL LLC	AMARILLO	TX	$4.96M
PITTSBURG HOSPITAL LLC	PITTSBURG	TX	$4.83M
AHS CLAREMORE REGIONAL HOSPITAL, LLC.	CLAREMORE	OK	$4.81M
AHS HENRYETTA HOSPITAL LLC	HENRYETTA	OK	$4.27M
PITTSBURG HOSPITAL LLC	PITTSBURG	TX	$3.98M
TOPEKA HOSPITAL, LLC	TOPEKA	KS	$3.94M

Year	Claims	Total Paid
2024	149	$11K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	77	77	$7K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	48	45	$3K
87428		24	24	$1K