Medicaid Provider Spending

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

RIDGELINE MEDICAL LLC

NPI: 1386110963 · IDAHO FALLS, ID 83404 · Chiropractor · NPI assigned 10/22/2018

$386K
Total Medicaid Paid
6,254
Total Claims
5,754
Beneficiaries
12
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANGAN, MARTIN (OWNER)
NPI Enumeration Date10/22/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 300 $19K
2021 1,473 $82K
2022 2,144 $124K
2023 1,391 $89K
2024 946 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,410 3,075 $261K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,827 1,712 $106K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 40 38 $5K
99215 Prolong outpt/office vis 33 31 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 78 77 $3K
36415 Collection of venous blood by venipuncture 717 675 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 61 60 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 38 38 $752.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $196.44
80053 Comprehensive metabolic panel 12 12 $140.88