Physician
Rocky Mountain Diabetes and Osteoporosis Center PA
Rocky Mountain Diabetes and Osteoporosis Center PA was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1336220243assigned 10/18/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$2.48M
24GClaims110,923
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Idaho
Rank by total paid#1 of 5
Median peer was paid$106K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2018 | 11,735 | $205K | |
| 2019 | 12,060 | $228K | |
| 2020 | 14,038 | $314K | |
| 2021 | 18,859 | $416K | |
| 2022 | 20,666 | $446K | |
| 2023 | 17,617 | $421K | |
| 2024incomplete | 15,948 | $448K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 37% | 14,418 | 13,530 | $906K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 9,159 | 8,733 | $495K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 9.1% | 3,900 | 3,440 | $224K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.9% | 1,758 | 1,738 | $221K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.1% | 7,796 | 7,595 | $103K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.6% | 13,239 | 12,883 | $89K |
| 80053 | Comprehensive metabolic panel | 2.9% | 10,109 | 9,799 | $73K |
| 95251 | 2.7% | 2,796 | 2,750 | $68K | |
| 80061 | Lipid panel | 2.4% | 5,970 | 5,833 | $59K |
| 36415 | Collection of venous blood by venipuncture | 2.0% | 19,098 | 18,241 | $50K |
| 84439 | 1.6% | 5,019 | 4,914 | $39K | |
| 83037 | <1% | 2,005 | 1,975 | $18K |
42 more codes
| 84481 | <1% | 1,680 | $18K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,030 | $14K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 813 | $11K |
| 83001 | <1% | 605 | $11K | |
| 83002 | <1% | 604 | $11K | |
| 84305 | <1% | 471 | $10K | |
| 84403 | <1% | 371 | $9K | |
| 82043 | <1% | 2,238 | $7K | |
| 82570 | <1% | 2,302 | $7K | |
| 83516 | <1% | 461 | $6K | |
| 85027 | <1% | 1,047 | $4K | |
| 83970 | <1% | 199 | $4K | |
| 86364 | <1% | 375 | $3K | |
| 82784 | <1% | 269 | $2K | |
| 83721 | <1% | 495 | $2K | |
| 82670 | <1% | 78 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 286 | $2K |
| 82607 | <1% | 136 | $2K | |
| 11721 | <1% | 83 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 193 | $1K |
| 82947 | <1% | 425 | $1K | |
| 90686 | <1% | 91 | $656.88 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | $511.21 |
| 86800 | <1% | 29 | $485.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $461.17 |
| 86376 | <1% | 28 | $417.48 | |
| 81003 | <1% | 421 | $377.30 | |
| 82728 | <1% | 25 | $245.88 | |
| 84681 | <1% | 12 | $204.35 | |
| 82565 | <1% | 39 | $136.61 | |
| 85652 | <1% | 13 | $29.76 | |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $9.12 |
| 3074F | 0% | 41 | $0.00 | |
| 4010F | 0% | 27 | $0.00 | |
| 3008F | 0% | 170 | $0.00 | |
| 1036F | 0% | 172 | $0.00 | |
| 3061F | 0% | 12 | $0.00 | |
| 1159F | 0% | 254 | $0.00 | |
| 1160F | 0% | 15 | $0.00 | |
| 96160 | 0% | 38 | $0.00 | |
| 3078F | 0% | 12 | $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 officialHOOVER, JANET (BILLING LEAD)