Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEBBLE CREEK EMERGENCY PHYSICIANS PLLC

NPI: 1386019784 · POCATELLO, ID 83201 · Emergency Medicine Physician · NPI assigned 12/10/2015

$143K
Total Medicaid Paid
2,162
Total Claims
2,093
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialGATEWOOD, JOSEPH (PRESIDENT)
NPI Enumeration Date12/10/2015

Related Entities

Other providers sharing the same authorized official: GATEWOOD, JOSEPH

ProviderCityStateTotal Paid
CAMINO REAL EMERGENCY PHYSICIANS PLLC LIVINGSTON TX $626K
MED HAWAII, INC. WAILUKU HI $491K
ABK EMERGENCY PHYSICIANS PLLC ALICE TX $11K
BOONE EMERGENCY PHYSICIANS PLLC RIO GRANDE CITY TX $9K
NORTHBANK EMERGENCY PHYSICIANS PLLC EL PASO TX $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,162 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,133 1,093 $94K
99284 Emergency department visit for the evaluation and management, high severity 489 478 $34K
99283 Emergency department visit for the evaluation and management, moderate severity 297 285 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 243 237 $2K