Medicaid Provider Spending

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

TWO RIVERS MEDICAL CLINIC, PA

NPI: 1376662486 · WEISER, ID 83672 · Family Medicine Physician · NPI assigned 03/28/2007

$1.55M
Total Medicaid Paid
35,795
Total Claims
33,011
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDMONDSON, TONY (CLINIC ADMINISTRATOR)
NPI Enumeration Date03/28/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,782 $236K
2019 5,790 $215K
2020 4,633 $217K
2021 5,365 $249K
2022 5,320 $243K
2023 4,197 $198K
2024 3,708 $196K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,239 16,642 $1.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,099 10,274 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,607 3,420 $21K
36415 Collection of venous blood by venipuncture 2,622 2,487 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $520.83
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $410.40
90756 17 17 $307.65
81002 134 94 $87.09
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 26 26 $0.00