Idaho Falls Pediatrics

Idaho Falls Pediatrics was paid $10.82M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

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	37,254	$1.59M
2019	39,139	$1.66M
2020	34,833	$1.43M
2021	40,182	$1.67M
2022	40,717	$1.76M
2023	30,797	$1.43M
2024incomplete	25,636	$1.28M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	67,203	64,241	$4.44M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	15%	17,379	17,346	$1.66M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	14,730	14,707	$1.34M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	13,786	13,751	$1.20M
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	6.1%	36,991	36,822	$655K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.5%	5,926	5,908	$600K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.6%	2,003	1,987	$177K
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	1.5%	1,592	1,543	$158K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.3%	4,334	4,301	$141K
90472	Immunization administration, each additional vaccine (list separately)	<1%	9,077	9,072	$101K
99460		<1%	1,162	1,152	$94K
99462		<1%	1,668	1,144	$58K

40 more codes

90473		<1%	3,397	$56K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	1,247	$56K
87430		<1%	1,563	$21K
99177		<1%	7,365	$18K
96127		<1%	3,300	$14K
90474		<1%	1,297	$13K
82247		<1%	932	$5K
36415	Collection of venous blood by venipuncture	<1%	964	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	268	$4K
99382		<1%	14	$2K
81003		<1%	559	$1K
99383		<1%	12	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	86	$727.60
0071A		<1%	14	$560.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	46	$544.64
90686		<1%	13,387	$208.02
90670		<1%	8,833	$59.93
90723		<1%	5,736	$56.71
90647		<1%	5,835	$37.63
90681		<1%	3,951	$16.27
90696		<1%	354	$5.57
90710		<1%	401	$5.57
90672		<1%	2,809	$0.29
90633		<1%	3,565	$0.02
90734		<1%	419	$0.01
90677		0%	1,298	$0.00
90716		0%	393	$0.00
90697		0%	1,411	$0.00
90656		0%	463	$0.00
91307		0%	316	$0.00
90688		0%	144	$0.00
90619		0%	115	$0.00
90660		0%	336	$0.00
90381		0%	15	$0.00
90620		0%	12	$0.00
91300		0%	281	$0.00
90700		0%	392	$0.00
90649		0%	742	$0.00
90707		0%	337	$0.00
90715		0%	98	$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 officialPORTER, RON (OWNER)