Medicaid Provider Spending

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

IDAHO FALLS PEDIATRICS

NPI: 1366560971 · AMMON, ID 83406 · Pediatric Adolescent Medicine Physician · NPI assigned 03/26/2007

$10.82M
Total Medicaid Paid
248,558
Total Claims
243,740
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPORTER, RON (OWNER)
NPI Enumeration Date03/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 25,636 $1.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,203 64,241 $4.44M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,379 17,346 $1.66M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14,730 14,707 $1.34M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,786 13,751 $1.20M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 36,991 36,822 $655K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,926 5,908 $600K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,003 1,987 $177K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,592 1,543 $158K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,334 4,301 $141K
90472 Immunization administration, each additional vaccine (list separately) 9,077 9,072 $101K
99460 1,162 1,152 $94K
99462 1,668 1,144 $58K
90473 3,397 3,393 $56K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,247 1,236 $56K
87430 1,563 1,525 $21K
99177 7,365 7,364 $18K
96127 3,300 3,299 $14K
90474 1,297 1,297 $13K
82247 932 585 $5K
36415 Collection of venous blood by venipuncture 964 601 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 268 259 $4K
99382 14 14 $2K
81003 559 548 $1K
99383 12 12 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 86 86 $727.60
0071A 14 14 $560.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 46 46 $544.64
90686 13,387 13,334 $208.02
90670 8,833 8,817 $59.93
90723 5,736 5,727 $56.71
90647 5,835 5,823 $37.63
90681 3,951 3,946 $16.27
90696 354 351 $5.57
90710 401 398 $5.57
90672 2,809 2,807 $0.29
90633 3,565 3,556 $0.02
90734 419 416 $0.01
90677 1,298 1,297 $0.00
90716 393 391 $0.00
90697 1,411 1,410 $0.00
90656 463 463 $0.00
91307 316 300 $0.00
90688 144 142 $0.00
90619 115 115 $0.00
90660 336 336 $0.00
90381 15 15 $0.00
90620 12 12 $0.00
91300 281 273 $0.00
90700 392 389 $0.00
90649 742 736 $0.00
90707 337 336 $0.00
90715 98 97 $0.00