Medicaid Provider Spending

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

IDAHO STATE UNIVERSITY HEALTH CENTER

NPI: 1336214618 · POCATELLO, ID 83209 · Student Health Clinic/Center · NPI assigned 11/21/2006

$6K
Total Medicaid Paid
383
Total Claims
368
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSOLBRIG, RONALD (DIRECTOR)
Parent OrganizationIDAHO STATE UNIVERSITY
NPI Enumeration Date11/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 59 $985.28
2021 119 $3K
2022 97 $1K
2023 64 $846.29
2024 44 $603.12

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 59 56 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 139 136 $2K
90686 34 34 $639.68
90658 34 34 $449.48
36415 Collection of venous blood by venipuncture 101 96 $283.05
86580 16 12 $105.60